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Demandas y expectativas de la evaluación de tecnologías sanitarias en Galicia. Análisis cualitativo desde la perspectiva de decisores y clínicos
Abstract
Objetivo: Explorar la percepcion de utilizacion de la evaluacion de tecnologias sanitarias en el sistema sanitario publico de Galicia, obtener valoraciones sobre la utilidad de los diferentes servicios y productos desarrollados por la Agencia de Evaluacion de Tecnologias Sanitarias de Galicia (avalia-t), e identificar barreras y facilitadores a la transferencia de resultados a la practica clinica. Metodo: Estudio cualitativo basado en 20 entrevistas en profundidad semiestructuradas realizadas a expertos seleccionados mediante muestreo intencional (diez del ambito clinico y diez de gestion). Las entrevistas fueron grabadas y se realizo un analisis tematico inductivo de la informacion. Resultados: Se evidencio un alto grado de interes por la evaluacion de tecnologias sanitarias, aunque la gran mayoria de los entrevistados aludieron a su infrautilizacion como herramienta de decision en la practica asistencial. Se identificaron una serie de factores clave para garantizar el exito de la evaluacion: el aumento de las actividades de difusion y disponibilidad de los resultados, el fomento de la comunicacion e implicacion de los profesionales sanitarios en la seleccion y priorizacion de temas a evaluar, la contextualizacion y adaptacion de los estudios al contexto, el aumento del respaldo organizativo y el mayor apoyo economico. Conclusiones: El presente estudio permite contrastar con los usuarios finales la valoracion/utilidad de los diferentes productos/servicios ofertados por las agencias para poder adecuar la actividad a sus necesidades y expectativas. La colaboracion de los profesionales se plantea como uno de los principales ejes de accion para las agencias de evaluacion, participacion que hay que reforzar en la vertiente del contacto personal, al tiempo que debe fortalecerse la retroalimentacion en los procesos de colaboracion.
  • References (16)
  • Cited By (2)
Myriam Hivon9
Estimated H-index: 9
(Université de Montréal),
Pascale Lehoux28
Estimated H-index: 28
(Université de Montréal)
+ 1 AuthorsStéphanie Tailliez5
Estimated H-index: 5
(Université de Montréal)
Objectives: Health technology assessment (HTA) is a policy-oriented form of research designed to inform decision-makers on the introduction, use, and dissemination of health technology. Whereas research on knowledge transfer has focused on knowledge producers, little attention has been given to the user's perspective. This study examines how health-care provider, administrator, and patient associations across Canada use HTA reports and the limitations they encounter when accessing and using scie...
36 Citations Source
Marie-Pierre Gagnon31
Estimated H-index: 31
(University of Calgary),
Emília Sánchez13
Estimated H-index: 13
,
Joan M.V. Pons13
Estimated H-index: 13
Objectives: Evaluating the impact of recommendations based upon health technology assessment (HTA) represents a challenge for both HTA agencies and healthcare policy makers. This research sought to understand factors affecting the uptake of HTA recommendations to support decision making with respect to the introduction of three health technologies. Methods: Using a multidimensional framework, based upon a combination of theoretical models, a case study was conducted. A total of twenty-eight semi...
21 Citations Source Cite
Simon Innvær5
Estimated H-index: 5
,
Gunn Elisabeth Vist34
Estimated H-index: 34
+ 1 AuthorsAndrew D Oxman82
Estimated H-index: 82
Objectives: The empirical basis for theories and common wisdom regarding how to improve appropriate use of research evidence in policy decisions is unclear. One source of empirical evidence is interview studies with policy-makers. The aim of this systematic review was to summarise the evidence from interview studies of facilitators of, and barriers to, the use of research evidence by health policy-makers.Methods: We searched multiple databases, including Medline, Embase, Sociofile, PsychLit, PAI...
658 Citations Source Cite
Paul Trueman16
Estimated H-index: 16
(Brunel University London),
David Grainger8
Estimated H-index: 8
(Eli Lilly and Company),
Kristen E. Downs1
Estimated H-index: 1
Objectives: The aim of this study was to describe the current issues surrounding Coverage with Evidence Development (CED). CED is characterized by restricted coverage for a new technology in parallel with targeted research when the stated goal of the research or data collection is to provide definitive evidence for the clinical or cost-effectiveness impact of the new technology. Methods: Presented here is information summarized and interpreted from presentations and discussions at the 2008 Healt...
58 Citations Download PDF Cite
Vitantonio Di Bello28
Estimated H-index: 28
,
Gianni Tonti4
Estimated H-index: 4
+ 6 AuthorsGiovanni La Canna32
Estimated H-index: 32
Abstract The objective of this review is to introduce the readers of this journal to the knowledge of some basic aspects of Health Technology Assessment (HTA). HTA starts from the need of the “political governance” to provide adequate health services to the citizens’ demand without overloading the budgets and with a correct resource management. HTA has become a determinant exigency for health care management which has acquired new economic and financial competence to respect the limited budgets....
28 Citations Source Cite
Richard Baker45
Estimated H-index: 45
(University of Leicester),
Janette Camosso-Stefinovic9
Estimated H-index: 9
(University of Leicester)
+ 4 AuthorsNoelle Robertson19
Estimated H-index: 19
(University of Leicester)
Background In the previous version of this review, the effectiveness of interventions tailored to barriers to change was found to be uncertain. Objectives To assess the effectiveness of interventions tailored to address identified barriers to change on professional practice or patient outcomes. Search methods For this update, in addition to the EPOC Register and pending files, we searched the following databases without language restrictions, from inception until August 2007: MEDLINE, EMBASE, CI...
611 Citations Download PDF Cite
John N. Lavis50
Estimated H-index: 50
(McMaster University),
Huw Davies50
Estimated H-index: 50
(University of St Andrews)
+ 3 AuthorsEwan Ferlie43
Estimated H-index: 43
(Royal Holloway, University of London)
Objectives: To identify ways to improve the usefulness of systematic reviews for health care managers and policy-makers that could then be evaluated prospectively. Methods: We systematically reviewed studies of decision-making by health care managers and policy-makers, conducted interviews with a purposive sample of them in Canada and the United Kingdom (n ¼ 29), and reviewed the websites of research funders, producers/purveyors of research, and journals that include them among their target audi...
411 Citations Source Cite
Katrine Frønsdal5
Estimated H-index: 5
,
Karen Facey10
Estimated H-index: 10
(University of Glasgow)
+ 3 AuthorsJohn-Arne Røttingen21
Estimated H-index: 21
Background: The way in which a health technology is used in any particular health system depends on the decisions and actions of a variety of stakeholders, the local culture, and context. In 2009, the HTAi Policy Forum considered how health technology assessment (HTA) could be improved to optimize the use of technologies (in terms of uptake, change in use, or disinvestment) in such complex systems. Methods: In scoping, it was agreed to focus on initiatives to implement evidence-based guidance an...
30 Citations Source Cite
Javier Callejo Gallego1
Estimated H-index: 1
Antes de entrar en la oposicion entre perspectiva cuantitativa y perspectiva cualitativa de la investigacion social, se argumenta la necesidad de considerar el proceso de investigacion social como un proceso social y las propias situaciones de observacion empirica como situaciones sociales. Por lo tanto, en la investigacion social el objeto de observacion y las vias de observacion son de la misma materia. Como en toda situacion social, en la de observacion se ponen en juego normas sociales. Pues...
60 Citations Download PDF Cite
Elena Andradas4
Estimated H-index: 4
,
Juan-Antonio Blasco1
Estimated H-index: 1
+ 2 AuthorsFrancisco-Javier Gracia1
Estimated H-index: 1
Objectives: The aim of this study was to explore the needs and requirements of decision makers in our regional healthcare system for health technology assessment (HTA) products to support portfolio development planning for a new HTA agency in Madrid, Spain. Methods: A Delphi study was conducted during 2003. Questionnaires were developed based on a review of products and services offered by other agency members of the International Network of Agencies for Health Technology Assessment, and include...
12 Citations Source Cite
  • References (16)
  • Cited By (2)
Leonor Varela-Lema4
Estimated H-index: 4
,
Alberto Ruano-Ravina19
Estimated H-index: 19
(University of Santiago de Compostela)
+ 6 AuthorsLaura Sampietro-Colom13
Estimated H-index: 13
Objectives: When a new health technology has been approved by a health system, it is difficult to guarantee that it is going to be efficiently adopted, adequately used, and that effectiveness, safety, and consumption of resources and costs are in line with what was expected in preliminary investigations. Many governmental institutions promote the idea that efficient mechanisms should be established aimed at developing and incorporating continuous evidence into health technologies management. The...
4 Citations Source Cite
Hector Eduardo Castro Jaramillo1
Estimated H-index: 1
(Harvard University),
Ornella Moreno-Mattar1
Estimated H-index: 1
(Universidad Externado de Colombia),
Diana Osorio-Cuevas1
Estimated H-index: 1
1 Citations Source Cite