Skip to main content
    • Aa
    • Aa


  • Laura Sampietro-Colom (a1), Krzysztof Lach (a2), Iris Pasternack (a3), Jean-Blaise Wasserfallen (a4), Americo Cicchetti (a5), Marco Marchetti (a6), Kristian Kidholm (a7), Helene Arentz-Hansen (a8), Magdalene Rosenmöller (a9), Claudia Wild (a10), Rabia Kahveci (a11) and Margus Ulst (a12)...

Objectives: Health technology assessment (HTA) carried out for policy decision making has well-established principles unlike hospital-based HTA (HB-HTA), which differs from the former in the context characteristics and ways of operation. This study proposes principles for good practices in HB-HTA units.

Methods: A framework for good practice criteria was built inspired by the EFQM excellence business model and information from six literature reviews, 107 face-to-face interviews, forty case studies, large-scale survey, focus group, Delphi survey, as well as local and international validation. In total, 385 people from twenty countries have participated in defining the principles for good practices in HB-HTA units.

Results: Fifteen guiding principles for good practices in HB-HTA units are grouped in four dimensions. Dimension 1 deals with principles of the assessment process aimed at providing contextualized information for hospital decision makers. Dimension 2 describes leadership, strategy and partnerships of HB-HTA units which govern and facilitate the assessment process. Dimension 3 focuses on adequate resources that ensure the operation of HB-HTA units. Dimension 4 deals with measuring the short- and long-term impact of the overall performance of HB-HTA units. Finally, nine core guiding principles were selected as essential requirements for HB-HTA units based on the expertise of the HB-HTA units participating in the project.

Conclusions: Guiding principles for good practices set up a benchmark for HB-HTA because they represent the ideal performance of HB-HTA units; nevertheless, when performing HTA at hospital level, context also matters; therefore, they should be adapted to ensure their applicability in the local context.

Hide All
1. M McGregor . What decision-makers want and what they have been getting. Value Health. 2006;9:181185.

5. MF Drummond , JS Schwartz , B Jönsson , et al.Key principles for the improved conduct of health technology assessments for resource allocation decisions. Int J Technol Assess Health Care. 2008;24:244258; discussion 362–368.

6. P Vallejo , RM Saura , R Sunol , et al. A proposed adaptation of the EFQM fundamental concepts of excellence to health care based on the PATH framework. Int J Qual Health Care. 2006;18:327335.

13. JN Lavis , AD Oxman , R Moynihan , EJ Paulsen . Evidence-informed health policy 1 - synthesis of findings from a multi-method study of organizations that support the use of research evidence. Implement Sci. 2008;3:53.

22. G Gallego , K van Gool , D Kelleher . Resource allocation and health technology assessment in Australia: Views from the local level. Int J Technol Assess Health Care. 2009;25:134140.

23. A Haselkorn , AH Rosenstein , AK Rao , M Van Zuiden , MJ Coye . New technology planning and approval: Critical factors for success 13. Am J Med Qual. 2007;22:164169.

25. P Poulin , L Austen , JB Kortbeek , R Lafrenière . New technologies and surgical innovation: Five years of a local health technology assessment program in a surgical department. Surg Innov. 2012;19:187–99.

27. O Golan , P Hansen , G Kaplan , O Tal . Health technology prioritization: Which criteria for prioritizing new technologies and what are their relative weights? Health Policy (New York). 2011;102:126135.

29. AG Elshaug , et al.Challenges in Australian policy processes for disinvestment from existing, ineffective health care practices. Aust New Zealand Health Policy. 2007;4;23.

34. M Bennie , J Dear , S Hems , et al.An investigation into the effect of advice from the Scottish Medicines Consortium on the use of medicines in Scotland's Health Service. Br J Clin Pharmacol. 2011;71:283288.

Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

International Journal of Technology Assessment in Health Care
  • ISSN: 0266-4623
  • EISSN: 1471-6348
  • URL: /core/journals/international-journal-of-technology-assessment-in-health-care
Please enter your name
Please enter a valid email address
Who would you like to send this to? *


Type Description Title
Supplementary Materials

Sampietro-Colom supplementary material
List of acknowledgments

 Word (30 KB)
30 KB
Supplementary Materials

Sampietro-Colom supplementary material
Table S2

 Word (20 KB)
20 KB


Altmetric attention score

Full text views

Total number of HTML views: 7
Total number of PDF views: 101 *
Loading metrics...

Abstract views

Total abstract views: 695 *
Loading metrics...

* Views captured on Cambridge Core between September 2016 - 18th October 2017. This data will be updated every 24 hours.