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Development of sustainable models for technology evaluation in hospital

Published on Sep 1, 2014in Technology and Health Care0.79
· DOI :10.3233/THC-140847
Roberto Miniati8
Estimated H-index: 8
(UniFI: University of Florence),
Francesco Frosini3
Estimated H-index: 3
(UniFI: University of Florence)
+ 2 AuthorsG. Biffi Gentili9
Estimated H-index: 9
(UniFI: University of Florence)
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Abstract
BACKGROUND: This paper reports the development of standard techniques for technology evaluation in hospital carried out at the Florence Teaching Hospital Careggi (AOUC), where, as a complex system, the technological evaluation is a strategic and essential element for the maintenance of high-quality clinical activity and maximization of available resources.OBJECTIVE: The aim of this paper has been the development of a system of economically sustainable models for the implementation of HTA and HS analyses in the hospital environment as well as presenting, in addition to a valid scientific resilience, the methodological and temporary flexibility to satisfy needs of hospital decision-makers. METHODS: The evaluation models call for 3 main phases: an initial analysis of the in-hospital request, a collection of data, and finally a draft of a specific, easily usable set of reports. RESULTS: Three standardized and tested models of evaluation were developed, which, in relation to the objective of the request and schedule of the assignment, provide for the production of a speedy report (1-week), an intermediate report (1-month), or a extensive report typical of classical studies of hospital based HTA (1-year). It is then related to the evaluation model of the IORT (Intra-Operative Radiation Therapy) technology. DISCUSSIONS AND CONCLUSION: The developed models have permitted the construction, using personnel and laboratories within the hospital, of an evaluation system reliable and responsive to the HOSPITAL's temporary needs based on the HS and HTA analyses in the hospital environment. Regarding the applicable case of IORT, this has shown how in-hospital requests have been satisfied in the preset time: although it establishes expected improvements on the social effect and weight of the illness and reveals a high territorial strategic relevance, the introduction of IORT in the hospital presents some criticalities on the impact on the healthcare organization and the necessity of specific training of medical technologist personnel.
  • References (10)
  • Citations (7)
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References10
Newest
Published on Oct 1, 2014
Iñaki Gutiérrez-Ibarluzea14
Estimated H-index: 14
,
Sue Simpson13
Estimated H-index: 13
+ 15 AuthorsAntonio Migliore3
Estimated H-index: 3
The first toolkit for the identification and assessment of new and emerging health technologies was developed by members of the EuroScan International Network and published in 2009. Five years later this revised toolkit continues to focus on methods that are integral to an early awareness and alert (EAA) system. It is once again a collaborative piece of work to which all members have contributed with new information based on their experiences being added. The main stages involved in EAA systems ...
Laura Sampietro-Colom13
Estimated H-index: 13
,
Irene Morilla-Bachs1
Estimated H-index: 1
+ 1 AuthorsPedro Gallo de Puelles10
Estimated H-index: 10
(University of Barcelona)
Objective : To develop and test a decision-support tool for prioritizing new competing Health Technologies (HTs) after their assessment using the mini-HTA approach. Methods: A two layer value/risk tool was developed based on the mini-HTA. The first layer included 12 mini-HTA variables classified in two dimensions, namely value (safety, clinical benefit, patient impact, cost-effectiveness, quality of the evidence, innovativeness) and risk (staff, space and process of care impacts, incremental cos...
Claire Packer11
Estimated H-index: 11
(University of Birmingham),
Matthew Fung3
Estimated H-index: 3
(University of Birmingham),
Andrew Stevens30
Estimated H-index: 30
(University of Birmingham)
Objectives: The aim of this study was to assess the accuracy of the English National Horizon Scanning Centre (NHSC) in identifying and filtering pharmaceutical developments using end user and international collaborator databases of emerging technologies as proxies for new drugs of likely significance to health services and/or patients. Methods: We used the NHSC information system and the list of National Institute for Health and Clinical Excellence (NICE) technology appraisals to estimate the fa...
Iñaki Gutiérrez-Ibarluzea14
Estimated H-index: 14
,
Sue Simpson13
Estimated H-index: 13
(University of Birmingham),
Gaizka Benguria-Arrate3
Estimated H-index: 3
Published on Mar 1, 2012in Science & Public Policy1.57
Effie Amanatidou6
Estimated H-index: 6
(Manchester Institute of Innovation Research),
Maurits Butter6
Estimated H-index: 6
+ 5 AuthorsVictor van Rij2
Estimated H-index: 2
Future-oriented technology analysis methods can play a significant role in enabling early warning signal detection and pro-active policy action which will help to better prepare policy- and decision-makers in today's complex and inter-dependent environments. This paper analyses the use of different horizon scanning approaches and methods as applied in the Scanning for Emerging Science and Technology Issues project. A comparative analysis is provided as well as a brief evaluation the needs of pol...
Kristian Kidholm11
Estimated H-index: 11
(OUH: Odense University Hospital),
Lars Holger Ehlers16
Estimated H-index: 16
+ 2 AuthorsMickael Beck3
Estimated H-index: 3
(University of Southern Denmark)
Objectives: Mini-HTA (health technology assessment) is increasingly being applied in Denmark as an input for decisions on the use of health technologies. Mini-HTA is a form or check list with questions concerning the prerequisites for and consequences of health technologies. At the national level, the National Board of Health uses mini-HTA when hospitals apply for permission to introduce new treatments. Mini-HTA is also compulsory in Danish Regions’ annual collection of early warnings. At the lo...
Hussein Noorani5
Estimated H-index: 5
(Canadian Agency for Drugs and Technologies in Health),
Don Husereau17
Estimated H-index: 17
(Canadian Agency for Drugs and Technologies in Health)
+ 1 AuthorsBecky Skidmore19
Estimated H-index: 19
Objectives: This study sought to identify and compare various practical and current approaches of health technology assessment (HTA) priority setting. Methods: A literature search was performed across PubMed, MEDLINE, EMBASE, BIOSIS, and Cochrane. Given an earlier review conducted by European agencies (EUR-ASSESS project), the search was limited to literature indexed from 1996 onward. We also searched Web sites of HTA agencies as well as HTAi and ISTAHC conference s. Agency representatives were ...
Lars Holger Ehlers16
Estimated H-index: 16
(Aarhus University Hospital),
Malene Vestergaard1
Estimated H-index: 1
+ 6 AuthorsMette Kjølby6
Estimated H-index: 6
(Aarhus University Hospital)
Objectives: The purpose of this project was to evaluate local decision support tools used in the Danish hospital sector from a theoretical and an empirical point of view. Methods: The use of local decision support was evaluated through questionnaires sent to all county health directors, all hospital managers, and all heads of clinical departments in cardiology, orthopedic surgery, and intensive care. In addition, respondents were asked to submit whatever decision support tools they were using (i...
Karla Douw6
Estimated H-index: 6
(University of Southern Denmark),
Hindrik Vondeling14
Estimated H-index: 14
(University of Southern Denmark)
Objectives: Uncertainty is pervasive in decision making on new health technologies; therefore, some countries have put systems in place to support decision makers with timely information. An important, but as yet undocumented, determinant of the potential value for decision making of these so-called horizon scanning systems (HSSs) is how the most significant health technologies are selected. Methods: All thirteen member organizations of EuroScan, a collaborative network for HSSs, were surveyed a...
Cited By7
Newest
Published on Jan 1, 2019
Elena Ciagli (UniFI: University of Florence), Francesco Frosini3
Estimated H-index: 3
(UniFI: University of Florence)
+ 5 AuthorsAndrea Belardinelli2
Estimated H-index: 2
Introduction Side effects of traditional analgo-sedative agents call the attention to alternative strategies of sedation for critically ill patients; volatile anaesthetics (VAs) are considered potential substitutes in selected categories of patients. MIRUS™ (Pall Corporation and TIM Germany) is an innovative system for the administration of VAs to these patients admitted in intensive care unit (ICU). Methods The aim of this study was to analyse the clinical and economical characteristics of MIRU...
Published on Jan 1, 2019
Gabriele Palozzi1
Estimated H-index: 1
,
Camilla Falivena1
Estimated H-index: 1
,
Antonio Chirico1
Estimated H-index: 1
Investment in Health Technologies (HTs) is one of the crucial points for hospital managers. It affects the goals and strategic orientation of the whole Health Organization. Decision-making regarding the employment of new technologies involves, prevalently, the hospital level, which directly concerns the healthcare delivery process and its design.
Published on Oct 3, 2018in Sustainability2.59
Gabriele Palozzi1
Estimated H-index: 1
,
Sandro Brunelli1
Estimated H-index: 1
,
Camilla Falivena1
Estimated H-index: 1
Innovative health technology deployment represents the primary challenge within the sustainability of public health systems. On one hand, new technologies may potentially improve access to care and the quality of services. On the other hand, their rapid evolution and broad implications on existing procedures increase the risk to adopt technologies that are not value for money. As a consequence, Health Technology Assessment (HTA) is a critical process at each level of the National Health System. ...
Published on Jan 1, 2017
Shusaku Tsumoto26
Estimated H-index: 26
(Shimane University),
Shoji Hirano15
Estimated H-index: 15
(Shimane University),
Toshihiko Kawamura1
Estimated H-index: 1
(Shimane University)
Clinical environment is very complex, and flexible and adaptive service improvement is crucial in maintaining quality of medical care. Thus, incremental software development in hospital information system and its evaluation are important. This paper introduces a statistical estimation method of an embedded software in which service logs are used to measure the differences between responsive time before and after a new interface has been introduced. The empirical results show that statistical met...
Published on Nov 14, 2016in Technology and Health Care0.79
Francesco Frosini3
Estimated H-index: 3
,
Roberto Miniati8
Estimated H-index: 8
+ 3 AuthorsAndrea Belardinelli2
Estimated H-index: 2
The following study proposes and tests an integrated methodology involving Health Technology Assessment (HTA) and Failure Modes, Effects and Criticality Analysis (FMECA) for the assessment of specific aspects related to robotic surgery involving safety, process and technology.The integrated methodology consists of the application of specific techniques coming from the HTA joined to the aid of the most typical models from reliability engineering such as FMEA/FMECA. The study has also included in-...
Published on Aug 1, 2016
Shusaku Tsumoto26
Estimated H-index: 26
(Shimane University),
Shoji Hirano15
Estimated H-index: 15
(Shimane University)
Clinical environment is very complex, and flexible and adaptive service improvement is crucial in maintaining quality of medical care. Thus, incremental update of software service in a hospital information system (HIS) and its evaluation is important. This paper introduces an active mining process for development of a an embedded software in which service logs stored in HIS are used to calculate the test statistics for evaluation on the effect of introduction of a new alarming service for clinic...
Published on Jan 1, 2016
Roberto Miniati8
Estimated H-index: 8
(UniFI: University of Florence),
Fabrizio Dori8
Estimated H-index: 8
(UniFI: University of Florence)
+ 5 AuthorsAndrea Belardinelli2
Estimated H-index: 2
Robotic surgery has been strongly improved since the beginning of the twenty-first century and chased important level of technical and clinical performances. Within the robotic area, the most worldwide used surgical robot is the da Vinci® system made by Intuitive Surgical Inc.
Published on Jan 1, 2016in Procedia Computer Science
Shusaku Tsumoto26
Estimated H-index: 26
(Shimane University),
Shoji Hirano15
Estimated H-index: 15
(Shimane University)
Abstract Clinical environment is very complex, and flexible and adaptive service improvement is crucial in maintaining quality of medical care. Thus, incremental update of software service in a hospital information system (HIS) and its evaluation is important. This paper introduces an active mining process for development of a an embedded software in which service logs stored in HIS are used to calculate the test statistics for evaluation on the effect of introduction of a new alarming service f...
Published on Dec 1, 2014 in ICDM (International Conference on Data Mining)
Toshihiko Kawamura1
Estimated H-index: 1
,
Tomohiro Kimura1
Estimated H-index: 1
(Toshiba),
Shusaku Tsumoto26
Estimated H-index: 26
(Shimane University)
Hospital information has become an intelligence infrastructure in large-scale hospitals, and incremental software development is important for improving service quality. This paper introduces statistical estimation of service log to measure the differences between responsive time before and after a new interface has been introduced. The results show that even simple statistical methods can compare the system performance due to the sample size of service log.
Published on Dec 1, 2014in The Review of Socionetwork Strategies
Toshihiko Kawamura1
Estimated H-index: 1
,
Tomohiro Kimura1
Estimated H-index: 1
(Toshiba),
Shusaku Tsumoto26
Estimated H-index: 26
(Shimane University)
Hospital information has become an intelligence infrastructure in large-scale hospitals, and incremental software development is important for improving service quality. This paper introduces a statistical estimation of a service log to measure the differences between responsive time before and after a new interface has been introduced. The results show that even simple statistical methods can compare system performances using the log recorded in the hospital information system.
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