Hospital-Based Health Technology Assessment: Developments to Date
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Health technology assessment (HTA) uses a multidisciplinary approach to answer relevant questions regarding the safety, efficacy, effectiveness and cost-effectiveness of health technologies. There is growing interest in implementing HTA methods at the hospital level because it could facilitate decision-making regarding acquisition, implementation or discontinuation of technologies or interventions within the hospital. First, this article provides an overview of current international experiences and knowledge of hospital-based HTA. Then, it presents the different types of hospital-based HTA, providing examples of each of these models, as well as their strengths and limitations. Finally, it proposes a set of emerging issues that could help inform decision-makers who consider implementing hospital-based HTA, or other stakeholders interested in the field.
KeywordsHealth Technology Assessment Hospital Level Health Technology Assessment Agency Health Technology Assessment Process Health Technology Assessment Recommendation
This work was partly based on a knowledge synthesis that was conducted for the Canadian Health Services Foundation for Research (Grant # CHS-2419). No specific funding was received in relation to this article. Marie-Pierre Gagnon holds the Tier 2 Canada Research Chair in Technologies and Practices in Health. She has no conflicts of interest that are directly relevant to the content of this article.
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