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Article

Overcoming Barriers in Hospital-Based Health Technology Assessment (HB-HTA): International Expert Panel Consensus

by
Iga Lipska
1,2,3,
Rossella Di Bidino
4,5,
Maciej Niewada
6,
Bertalan Nemeth
7,
Tomasz Bochenek
8,
Monika Kukla
3,
Barbara Więckowska
9,
Alicja Sobczak
1,
Katarzyna Iłowiecka
1,
Antal Zemplenyi
7,10,
Nicolas Martelli
11,12,
Tess Martin
11,12,
Olena Filiniuk
13,
Kostyantyn Kosyachenko
14,
Rabia Sucu
3,
Oresta Piniazhko
15,16,
Olha Zaliska
16,
Andrey Avdeyev
17,
Nasrulla Shanazarov
17,
Marina von Pinoci
18 and
Rok Hren
7,19,20,*add Show full author list remove Hide full author list
1
Health Policy Institute, 00-819 Warsaw, Poland
2
Medical Department, Academy of Applied Medical and Social Sciences, 82-300 Elbląg, Poland
3
Hospital-Based Health Technology Assessment Interest Group, Health Technology Assessment International, Edmonton, AB T6H 5P9, Canada
4
Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168 Rome, Italy
5
Health Graduate School of Health Economics and Management (ALTEMS), Università Cattolica Del Sacro Cuore, 00168 Rome, Italy
6
Department of Experimental and Clinical Pharmacology, Medical University of Warsaw, 02-091 Warsaw, Poland
7
Syreon Research Institute, 1142 Budapest, Hungary
8
Department of Nutrition and Drug Research, Institute of Public Health, Faculty of Health Sciences, Jagiellonian University Medical College, 31-126 Krakow, Poland
9
Social Insurance Department, Warsaw School of Economics, 02-554 Warsaw, Poland
10
Center for Health Technology Assessment and Pharmacoeconomics Research, Faculty of Pharmacy, University of Pécs, 7624 Pécs, Hungary
11
Pharmacy Department, Georges Pompidou European Hospital, 75015 Paris, France
12
Faculty of Pharmacy, Université Paris-Saclay, GRADES, 91190 Orsay, France
13
Safe, Affordable, and Effective Medicines for Ukrainians (SAFEMed) Activity, Management Sciences for Health, 02000 Kyiv, Ukraine
14
Department of Management and Economy of Pharmacy, Bogomolets National Medical University, 01601 Kyiv, Ukraine
15
Department of Health Technology Assessment, State Expert Center, Ministry of Health of Ukraine, 01021 Kyiv, Ukraine
16
Department of Management and Economy of Pharmacy, Medicine Technology and Pharmacoeconomics, Faculty of Postgraduate Education, Danylo Halytsky Lviv National Medical University, 79010 Lviv, Ukraine
17
Medical Center Hospital of the President’s Affairs Administration of the Republic of Kazakhstan, Astana 010000, Kazakhstan
18
Care Quality Division, Hôpitaux Universitaires de Genève, 1211 Geneva, Switzerland
19
Institute of Mathematics, Physics, and Mechanics, 1000 Ljubljana, Slovenia
20
Faculty of Mathematics and Physics, University of Ljubljana, 1000 Ljubljana, Slovenia
 
add Show full affiliation list
 
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*
Author to whom correspondence should be addressed.
Healthcare 2024, 12(9), 889; https://doi.org/10.3390/healthcare12090889
Submission received: 6 March 2024 / Revised: 17 April 2024 / Accepted: 23 April 2024 / Published: 25 April 2024
(This article belongs to the Topic Economics of Public Health: Assessment of Health Interventions)
Review Reports Versions Notes

Abstract

The purpose of this article is to investigate the common facilitators and barriers associated with the implementation of hospital-based health technology assessment (HB-HTA) across diverse hospital settings in seven countries. Through a two-round Delphi study, insights were gathered from a panel of 15 HTA specialists from France, Hungary, Italy, Kazakhstan, Poland, Switzerland, and Ukraine. Experts initially conducted a comprehensive review of the HB-HTA implementation in their respective countries, identifying the barriers and facilitators through descriptive analysis. Subsequently, panel experts ranked these identified barriers and facilitators on a seven-point Likert scale. A median agreement score ≥ 6 and interquartile range (IQR) ≤ 1 was accepted as reaching a consensus. Out of the 12 statements categorized as external and internal barriers and facilitators, the expert panel reached consensus on six statements (two barriers and four facilitators). The external barrier, which achieved consensus, was the lack of the formal recognition of the role of HB-HTA in national or regional legislations. The internal barrier reaching consensus was the limited availability of human resources dedicated to HB-HTA. This qualitative study indicates that HB-HTA still has progress to make before being formally accepted and integrated across most countries, although by building on the facilitating factors we identified there may be an opportunity for the implementation of internationally developed strategies to strengthen HB-HTA practices.
Keywords: hospital-based health technology assessment; decision making in hospitals; facilitators influencing implementation; barriers influencing implementation hospital-based health technology assessment; decision making in hospitals; facilitators influencing implementation; barriers influencing implementation

Share and Cite

MDPI and ACS Style

Lipska, I.; Di Bidino, R.; Niewada, M.; Nemeth, B.; Bochenek, T.; Kukla, M.; Więckowska, B.; Sobczak, A.; Iłowiecka, K.; Zemplenyi, A.; et al. Overcoming Barriers in Hospital-Based Health Technology Assessment (HB-HTA): International Expert Panel Consensus. Healthcare 2024, 12, 889. https://doi.org/10.3390/healthcare12090889

AMA Style

Lipska I, Di Bidino R, Niewada M, Nemeth B, Bochenek T, Kukla M, Więckowska B, Sobczak A, Iłowiecka K, Zemplenyi A, et al. Overcoming Barriers in Hospital-Based Health Technology Assessment (HB-HTA): International Expert Panel Consensus. Healthcare. 2024; 12(9):889. https://doi.org/10.3390/healthcare12090889

Chicago/Turabian Style

Lipska, Iga, Rossella Di Bidino, Maciej Niewada, Bertalan Nemeth, Tomasz Bochenek, Monika Kukla, Barbara Więckowska, Alicja Sobczak, Katarzyna Iłowiecka, Antal Zemplenyi, and et al. 2024. "Overcoming Barriers in Hospital-Based Health Technology Assessment (HB-HTA): International Expert Panel Consensus" Healthcare 12, no. 9: 889. https://doi.org/10.3390/healthcare12090889

APA Style

Lipska, I., Di Bidino, R., Niewada, M., Nemeth, B., Bochenek, T., Kukla, M., Więckowska, B., Sobczak, A., Iłowiecka, K., Zemplenyi, A., Martelli, N., Martin, T., Filiniuk, O., Kosyachenko, K., Sucu, R., Piniazhko, O., Zaliska, O., Avdeyev, A., Shanazarov, N., ... Hren, R. (2024). Overcoming Barriers in Hospital-Based Health Technology Assessment (HB-HTA): International Expert Panel Consensus. Healthcare, 12(9), 889. https://doi.org/10.3390/healthcare12090889

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