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Health Policy. 2015 Nov;119(11):1424-32. doi: 10.1016/j.healthpol.2015.08.011. Epub 2015 Aug 24.

Hospital managers' need for information in decision-making--An interview study in nine European countries.

Author information

1
Odense University Hospital, Department for Quality, Research and Health Technology Assessment, Sdr. Boulevard 29, 5000 Odense C, Denmark. Electronic address: kristian.kidholm@rsyd.dk.
2
Odense University Hospital, Department for Quality, Research and Health Technology Assessment, Sdr. Boulevard 29, 5000 Odense C, Denmark. Electronic address: anne.mette.oelholm@rsyd.dk.
3
Odense University Hospital, Department for Quality, Research and Health Technology Assessment, Sdr. Boulevard 29, 5000 Odense C, Denmark. Electronic address: mette.birk-olsen@rsyd.dk.
4
Catholic University of the Sacred Heart, Department of Economics and Management and ALTEMS (Graduate School of Health Economics and Management), Largo F. Vito 1, 00168 Rome, Italy. Electronic address: acicchetti@rm.unicatt.it.
5
The National Knowledge Center for the Health Services, P.O. Box 7004 St Olavs plass, N-0130 Oslo, Norway. Electronic address: Brynjar.Fure@kunnskapssenteret.no.
6
Helsinki and Uusimaa Hospital District, P.O. Box 705, 00029 Hus, Finland. Electronic address: esa.halmesmaki@fimnet.fi.
7
Ankara Numune Training and Research Hospital, HTA Unit (ANHTA), Ulku Mahallesi Talatpasa Bulvari No. 5, Altindag, 06100 Ankara, Turkey. Electronic address: drrabiakahveci@yahoo.com.
8
Medical Direction, Tartu University Clinics, L.Puusepp st 1a, Tartu 50406, Estonia. Electronic address: Raul.Kiivet@ut.ee.
9
Medical Direction, Lausanne University Hospital (CHUV), Bugnon 21, Lausanne VD CH-1011, Switzerland. Electronic address: Jean-Blaise.Wasserfallen@chuv.ch.
10
Ludwig Boltzmann Institute für Health Technology Assessment, Garnisongasse 7/20, 1090 Wien/Vienna, Austria. Electronic address: claudia.wild@hta.lbg.ac.at.
11
Evaluation of Innovation and New Technologies, Hospital Clínic Barcelona, C/ Villarroel 170, 1.7., 08036 Barcelona, Spain. Electronic address: LSAMPIET@clinic.ub.es.

Abstract

Assessments of new health technologies in Europe are often made at the hospital level. However, the guidelines for health technology assessment (HTA), e.g. the EUnetHTA Core Model, are produced by national HTA organizations and focus on decision-making at the national level. This paper describes the results of an interview study with European hospital managers about their need for information when deciding about investments in new treatments. The study is part of the AdHopHTA project. Face-to-face, structured interviews were conducted with 53 hospital managers from nine European countries. The hospital managers identified the clinical, economic, safety and organizational aspects of new treatments as being the most relevant for decision-making. With regard to economic aspects, the hospital managers typically had a narrower focus on budget impact and reimbursement. In addition to the information included in traditional HTAs, hospital managers sometimes needed information on the political and strategic aspects of new treatments, in particular the relationship between the treatment and the strategic goals of the hospital. If further studies are able to verify our results, guidelines for hospital-based HTA should be altered to reflect the information needs of hospital managers when deciding about investments in new treatments.

KEYWORDS:

Decision makers; Decision making; HTA; Hospital based HTA; Informational needs

PMID:
26362086
DOI:
10.1016/j.healthpol.2015.08.011
[Indexed for MEDLINE]
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