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

Published online by Cambridge University Press:  20 May 2015

Nicolas Martelli ,
Mathilde Billaux ,
Isabelle Borget ,
Judith Pineau ,
Patrice Prognon  and
Helene van den Brink
Nicolas Martelli
Affiliation:
Pharmacy Department, Georges Pompidou European Hospital, AP-HP, Paris, France Pharmacoeconomics Research Unit, Faculty of Pharmacy, University Paris-Sudnicolas.martelli@aphp.fr
Mathilde Billaux
Affiliation:
Pharmacy Department, Georges Pompidou European Hospital, AP-HP
Isabelle Borget
Affiliation:
Pharmacoeconomics Research Unit, Faculty of Pharmacy, University Paris-Sud
Judith Pineau
Affiliation:
Pharmacy Department, Georges Pompidou European Hospital, AP-HP
Patrice Prognon
Affiliation:
Pharmacy Department, Georges Pompidou European Hospital, AP-HP
Helene van den Brink
Affiliation:
Pharmacoeconomics Research Unit, Faculty of Pharmacy, University Paris-Sud
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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

Medical deviceHospital-based HTAMini-HTAInnovation
Type
Assessments
Information
International Journal of Technology Assessment in Health Care , Volume 31 , Issue 1-2 , 2015 , pp. 12 - 18
Copyright
Copyright © Cambridge University Press 2015 

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