Looking to the Future of Hospital-Based HTA: The Next Frontier

  • Janet MartinEmail author
  • Laura Sampietro-Colom


This book represents the first attempt to provide a collated description of the global experience in hospital-based HTA across 18 countries and 6 continents. It is clear that there is an emerging global movement afoot to increase HTA activity at the local level in order to ensure that hospitals’ decision-making needs are addressed within required timelines and that relevant institutional considerations and other contextual issues are adequately addressed. Despite the growth of government-related and other external HTA agencies in recent decades, the persistent gap between production of arms-length HTA reports and relevance and timeliness for decision-makers in the real-world hospital setting has become increasingly clear. HB-HTA has been proposed as a solution to bridge this disconnection since local HTA can specifically address issues of relevance, context, and institutional decision-maker timelines. Furthermore, HB-HTA can serve as an ally for national/regional agencies in transferring nationally produced HTA information and guidance to the real-world setting, through proper adaptation to local context characteristics. For this reason, we have entitled the book The Next Frontier for HTA, insofar as HB-HTA represents the natural progression from arms-length HTA, to a locally integrated relevant HTA, which spans decision-makers and the knowledge translation context to improve HTA reach and overall impact.


Knowledge Translation Early Assessment Evidence Synthesis Contextual Issue Local Evidence 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  1. 1.MEDICI Centre, Department of Anesthesia & Perioperative MedicineSchulich School of Medicine & Dentistry, Western UniversityLondonCanada
  2. 2.Assessment of Innovations and New TechnologiesHospital Clinic BarcelonaBarcelonaSpain

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