Skip to main content
SpringerLink
Log in
Book cover

Hospital-Based Health Technology Assessment pp 361–368Cite as

Clinician Perspectives on Hospital-Based HTA

  • Chapter
  • First Online:

Abstract

The success of any hospital-based health technology assessment (HB-HTA) program depends on many stakeholders, but without buy-in from physicians and other members of the clinical team, HB-HTA will fail to reach its full potential. Physicians and clinical team members have great influence on which drugs, technologies, and techniques are used in the hospital setting, due to their pivotal role in hospital decision-making from the microlevel (individual/patient level clinical practice) to the meso-level (institutional policy/standard) and ultimately to the macro-level (national or governmental guidelines/standards).

This is a preview of subscription content, log in via an institution.

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   79.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   99.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  1. Ad N, Cheng DC, Martin J, Berglin EE, Chang BC, Doukas G, Gammie JS, Nitta T, Wolf RK, Puskas JD (2010) Surgical ablation for atrial fibrillation in cardiac surgery: a consensus Statement of the International Society of Minimally Invasive Cardiothoracic Surgery (ISMICS) 2009. Innovations (Phila) 5(2):74–83

    Article  Google Scholar 

  2. Bainbridge D, Martin J, Arango M, Cheng D (2012) Evidence-based peri-operative clinical outcomes research G: perioperative and anaesthetic-related mortality in developed and developing countries: a systematic review and meta-analysis. Lancet 380:1075–1081

    Article  PubMed  Google Scholar 

  3. Cabana MD, Rand CS, Powe NR, Wu AW, Wilson MH, Abboud PA, Rubin HR (1999) Why don’t physicians follow clinical practice guidelines? A framework for improvement. JAMA 282(15):1458–1465

    Article  CAS  PubMed  Google Scholar 

  4. Cheng D, Martin J, Dunning J, Shennib H, Muneretto C, Schueler S, Von Segesser L, Sergeant P, Turina M (2010) Endovascular aortic repair versus open surgical repair for descending thoracic aortic disease: a systematic review & meta-analysis of comparative studies. J Am Coll Cardiol 55(10):986–1001

    Article  PubMed  Google Scholar 

  5. Cheng D, Martin J (2011) Evidence-based practice and health technology assessment: a call for anesthesiologists to engage in knowledge translation. Can J Anaesth 58(4):354–363

    Article  PubMed  Google Scholar 

  6. Cheng DC, Martin J (2005) Raising the bar: a primer on evidence-based decision-making. Semin Cardiothorac Vasc Anesth 9:1–4

    Article  PubMed  Google Scholar 

  7. Cheng DC, Ad N, Martin J, Berglin EE, Chang BC, Doukas G, Gammie JS, Nitta T, Wolf RK, Puskas JD (2010) Surgical ablation for atrial fibrillation in cardiac surgery: a meta-analysis and systematic review. Innovations (Phila) 5(2):84–96

    Article  Google Scholar 

  8. Falk V, Cheng D, Martin J, Diegler A, Folliguet T, Nifon LW, Perier P, Raanani E, Smith JM, Seeburger J (2011) Minimally invasive versus conventional open mitral valve surgery: a consensus statement of the International Society of Minimally Invasive Coronary Surgery (ISMICS) 2010. Innovations 6(2):84–104

    PubMed  Google Scholar 

  9. Guyatt G, Cook D, Haynes B (2004) Evidence-based medicine has come a long way. BMJ 329:990–991

    Article  PubMed  PubMed Central  Google Scholar 

  10. Heifetz R, Linsky M (2002) Leadership on the line. Harvard Business School Press

    Google Scholar 

  11. Ioannidis JP (2005) Contradicted and initially stronger effects in highly cited clinical research. JAMA 294:218–228

    Article  CAS  PubMed  Google Scholar 

  12. Levinson W, Kallewaard M, Bhatia S, Wolfson D, Shortt S, Kerr E, On behalf of the Choosing Wisely International Working Group (2015) Choosing Wisely: a growing international campaign. BMJ Qual Saf 24:167–174

    Article  PubMed  Google Scholar 

  13. Martin J, Cheng D (2015) Editorial: the real cost of care: focus on value for money rather than price-tags. Can J Anesth 60(10):1034–1041

    Article  Google Scholar 

  14. Martin J, Cheng D (2013) Role of anesthesiologists in the wider governance of health care and health economics. Can J Anesth 60:918–928

    Article  PubMed  Google Scholar 

  15. Martin J, Cheng D (2012) Tranexamic acid for routine use in off-pump coronary artery bypass surgery: evidence base “Fait Accompli” or more research needed? Anesth Analg 115:227–230 (Editorial)

    Article  CAS  PubMed  Google Scholar 

  16. MEDICI Centre, Hospital-Based Health Technology Assessment. Available at: http://www.schulich.uwo.ca/anesthesia/research/epicor_medici/index.html

  17. McGregor M, Brophy JM (2005) End-user involvement in health technology assessment (HTA) development: a way to increase impact. Int J Technol Assess Health Care 21(2):263–267

    PubMed  Google Scholar 

  18. Menkis A, Martin J, Cheng D, Fitzgerald D, Freedman J, Gao C, Koster A, Mackenzie S, Murphy G, Spiess B, Ad N (2012) Drug, devices, technologies, and techniques for blood management in minimally invasive and conventional cardiothoracic surgery. A consensus statement from the International Society for Minimally Invasive Cardiothoracic Surgery (ISMICS) 2011. Innov Technol Tech Cardiothorac Vasc Surg 7(4):1–14

    Google Scholar 

  19. Ontario Ministry of Health and Long Term Care (2010) Excellent care for all act. Available at http://www.health.gov.on.ca/en/pro/programs/ecfa/legislation/

  20. Puskas J, Martin J, Cheng DC, Benussi S, Diegeler A, Ferdinand FD, Kieser T, Lamy A, Mack M, Patel N, Ruel M, Sabik J, Yanagawa B, Zamvar V (2015) ISMICS consensus conference and statements of randomized controlled trials of off-pump versus conventional coronary artery bypass surgery. Innovations 10(4):219–229

    PubMed  Google Scholar 

  21. Sackett DL, Strauss SE, Richardson WS, Rosenberg W, Haynes RB (2000) Evidence-based medicine. How to practice and teach EBM, 2nd edn. Churchill-Livingstone, Edinburgh

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Anesthesia & Perioperative Medicine, University Hospital, LHSC, 339 Windermere Road, C3-128, London, ON, N6A 5A5, Canada

    Davy Cheng MD, MSc, FRCPC, CAHS, CCPE

  2. Department of Medicine, Critical Care Medicine Division, Western University, London, ON, Canada

    Davy Cheng MD, MSc, FRCPC, CAHS, CCPE

  3. Centre for Medical Evidence, Decision Integrity & Clinical Impact (MEDICI), London Health Sciences Centre and St Joseph’s Health Care London, Western University, London, ON, Canada

    Davy Cheng MD, MSc, FRCPC, CAHS, CCPE

  4. MEDICI Centre, Department of Anesthesia & Perioperative Medicine, Schulich School of Medicine & Dentistry, Western University, London, ON, Canada

    Janet Martin PharmD, MSc(HTA)

Authors
  1. Davy Cheng MD, MSc, FRCPC, CAHS, CCPE
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Janet Martin PharmD, MSc(HTA)
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Davy Cheng MD, MSc, FRCPC, CAHS, CCPE .

Editor information

Editors and Affiliations

  1. Assessment of Innovations and New Technologies, Hospital Clinic Barcelona, Barcelona, Catalonia, Spain

    Laura Sampietro-Colom

  2. Centre for Medical Evidence, Decision Integrity & Clinical Impact (MEDICI), Department of Anesthesia & Perioperative Medicine, Schulich School of Medicine & Dentistry, Western University, London, Ontario, Canada

    Janet Martin

Rights and permissions

Reprints and permissions

Copyright information

© 2016 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Cheng, D., Martin, J. (2016). Clinician Perspectives on Hospital-Based HTA. In: Sampietro-Colom, L., Martin, J. (eds) Hospital-Based Health Technology Assessment. Adis, Cham. https://doi.org/10.1007/978-3-319-39205-9_31

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-39205-9_31

  • Published:

  • Publisher Name: Adis, Cham

  • Print ISBN: 978-3-319-39203-5

  • Online ISBN: 978-3-319-39205-9

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation