Overcoming Barriers in Hospital-Based Health Technology Assessment (HB-HTA): International Expert Panel Consensus
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. von Pinoci M. Hren R.
May 2024Multidisciplinary Digital Publishing Institute (MDPI)
Healthcare (Switzerland)
2024#12Issue 9
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.
barriers influencing implementation , decision making in hospitals , facilitators influencing implementation , hospital-based health technology assessment
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Health Policy Institute, Warsaw, 00-819, Poland
Medical Department, Academy of Applied Medical and Social Sciences, Elbląg, 82-300, Poland
Hospital-Based Health Technology Assessment Interest Group, Health Technology Assessment International, Edmonton, T6H 5P9, AB, Canada
Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, 00168, Italy
Health Graduate School of Health Economics and Management (ALTEMS), Università Cattolica Del Sacro Cuore, Rome, 00168, Italy
Department of Experimental and Clinical Pharmacology, Medical University of Warsaw, Warsaw, 02-091, Poland
Syreon Research Institute, Budapest, 1142, Hungary
Department of Nutrition and Drug Research, Institute of Public Health, Faculty of Health Sciences, Jagiellonian University Medical College, Krakow, 31-126, Poland
Social Insurance Department, Warsaw School of Economics, Warsaw, 02-554, Poland
Center for Health Technology Assessment and Pharmacoeconomics Research, Faculty of Pharmacy, University of Pécs, Pécs, 7624, Hungary
Pharmacy Department, Georges Pompidou European Hospital, Paris, 75015, France
Faculty of Pharmacy, Université Paris-Saclay, GRADES, Orsay, 91190, France
Safe, Affordable, and Effective Medicines for Ukrainians (SAFEMed) Activity, Management Sciences for Health, Kyiv, 02000, Ukraine
Department of Management and Economy of Pharmacy, Bogomolets National Medical University, Kyiv, 01601, Ukraine
Department of Health Technology Assessment, State Expert Center, Ministry of Health of Ukraine, Kyiv, 01021, Ukraine
Department of Management and Economy of Pharmacy, Medicine Technology and Pharmacoeconomics, Faculty of Postgraduate Education, Danylo Halytsky Lviv National Medical University, Lviv, 79010, Ukraine
Medical Center Hospital of the President’s Affairs Administration of the Republic of Kazakhstan, Astana, 010000, Kazakhstan
Care Quality Division, Hôpitaux Universitaires de Genève, Geneva, 1211, Switzerland
Institute of Mathematics, Physics, and Mechanics, Ljubljana, 1000, Slovenia
Faculty of Mathematics and Physics, University of Ljubljana, Ljubljana, 1000, Slovenia
Health Policy Institute
Medical Department
Hospital-Based Health Technology Assessment Interest Group
Fondazione Policlinico Universitario Agostino Gemelli IRCCS
Health Graduate School of Health Economics and Management (ALTEMS)
Department of Experimental and Clinical Pharmacology
Syreon Research Institute
Department of Nutrition and Drug Research
Social Insurance Department
Center for Health Technology Assessment and Pharmacoeconomics Research
Pharmacy Department
Faculty of Pharmacy
Safe
Department of Management and Economy of Pharmacy
Department of Health Technology Assessment
Department of Management and Economy of Pharmacy
Medical Center Hospital of the President’s Affairs Administration of the Republic of Kazakhstan
Care Quality Division
Institute of Mathematics
Faculty of Mathematics and Physics
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