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Int J Technol Assess Health Care. 2015 Jan;31(1-2):12-8. doi: 10.1017/S0266462315000057. Epub 2015 May 20.

INTRODUCTION OF INNOVATIVE MEDICAL DEVICES AT FRENCH UNIVERSITY HOSPITALS: AN OVERVIEW OF HOSPITAL-BASED HEALTH TECHNOLOGY ASSESSMENT INITIATIVES.

Author information

1
Pharmacy Department,Georges Pompidou European Hospital,AP-HP,Paris,France Pharmacoeconomics Research Unit,Faculty of Pharmacy,University Paris-Sudnicolas.martelli@aphp.fr.
2
Pharmacy Department,Georges Pompidou European Hospital,AP-HP.
3
Pharmacoeconomics Research Unit,Faculty of Pharmacy,University Paris-Sud.

Abstract

OBJECTIVES:

Local health technology assessment (HTA) to determine whether new health technologies should be adopted is now a common practice in many healthcare organizations worldwide. However, little is known about hospital-based HTA activities in France. The objective of this study was to explore hospital-based HTA activities in French university hospitals and to provide a picture of organizational approaches to the assessment of new and innovative medical devices.

METHODS:

Eighteen semi-structured interviews with hospital pharmacists were conducted from October 2012 to April 2013. Six topics were discussed in depth: (i) the nature of the institution concerned; (ii) activities relating to innovative medical devices; (iii) the technology assessment and decision-making process; (iv) the methodology for technology assessment; (v) factors likely to influence decisions and (vi) suggestions for improving the current process. The interview data were coded, collated and analyzed statistically.

RESULTS:

Three major types of hospital-based HTA processes were identified: medical device committees, innovation committees, and "pharmacy & management" processes. HTA units had been set up to support medical device and innovation committees for technology assessment. Slow decision making was the main limitation to both these committee-based approaches. As an alternative, "pharmacy & management" processes emerged as a means of rapidly obtaining a formal assessment.

CONCLUSIONS:

This study provides an overview of hospital-based HTA initiatives in France. We hope that it will help to promote hospital-based HTA activities in France and discussions about ways to improve and harmonize practices, through the development of national guidelines and/or a French mini-HTA tool, for example.

KEYWORDS:

Hospital-based HTA; Innovation; Medical device; Mini-HTA

PMID:
25991072
DOI:
10.1017/S0266462315000057
[Indexed for MEDLINE]

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