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Healthc Policy. 2019 Aug;15(1):82-94. doi: 10.12927/hcpol.2019.25936.

Decision-Making on New Non-Drug Health Technologies by Hospitals and Health Authorities in Canada.

Author information

1
School of Public Health, University of Alberta, Edmonton, AB.
2
Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON.
3
Unité d'évaluation des technologies et des modes d'intervention en santé , CHU de Québec - Université Laval, Laval, QC.
4
Director, Centre for Medical Evidence, Decision Integrity & Clinical Impact, Schulich School of Medicine & Dentistry, Western University, London, ON.
5
Department of Community Health Sciences and Institute for Public Health, University of Calgary, Calgary, AB.
6
Centre for Clinical Epidemiology & Evaluation, University of British Columbia, Vancouver, BC.

Abstract

INTRODUCTION:

Unlike those for publicly funded drugs in Canada, coverage decision-making processes for non-drug health technologies (NDTs) are not well understood.

OBJECTIVES:

This paper aims to describe existing NDT decision-making processes in different healthcare organizations across Canada.

METHODS:

A self-administered survey was used to determine demographic and financial characteristics of organizations, followed by in-depth interviews with senior leadership of consenting organizations to understand the processes for making funding decisions on NDTs.

RESULTS:

Seventy-three and 48 organizations completed self-administered surveys and telephone interviews, respectively (with 45 participating in both ways). Fifty-five different processes were identified, the majority of which addressed capital equipment. Most involved multidisciplinary committees (with medical and non-medical representation), but the types of information used to inform deliberations varied. Across all processes, decision-making criteria included local considerations such as alignment with organizational priorities.

CONCLUSIONS:

NDT decision-making processes vary in complexity, depending on characteristics of the healthcare organization and context.

PMID:
31629458
DOI:
10.12927/hcpol.2019.25936

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