Main Article Content
Health Technology Assessment, Hospital-Based Health Technology Assessment, Health Technology Assessment Knowledge, Health Technology Assessment Evaluation
Background and aim: Nowadays Health Technology Assessment (HTA) is becoming more important in the hospital management, until the conception of Hospital Based HTA (HB-HTA), considered as a tool of HTA that is a multidisciplinary process to determine the value of a health technology in health sector. The aims of this study are the investigation of the current state of the art and of the diffusion of the HTA culture in hospitals (HB-HTA) also the analysis of the thinking of healthcare professionals regarding the usefulness of HTA.
Methods: The study was performed through the administration of two questionnaires respectively to hospitals’ HealthCare Workers (HCW) to assess the HTA’s knowledge and to hospitals’ HCW that have submitted a new technologies or devices’ request to Direction between 2017 and 2019.
Results: Considering 988 questionnaires send to HCW only 416 (42.1%) answer were collected, with a higher attention towards HTA made by physicians (148; 35,6%). It’s fundamental to observe that despite a mean response rate all the population shows interest for the HB-HTA concept as an instrument to help the hospital management. About the 23 questionnaires to HCW that have made request show a higher attention and knowledge to HTA.
Conclusions: In conclusion, in the current welfare landscape and for the future developments that will ensue from it, especially in the Italian context due to the increase of healthcare funds provided by the NRRP (National Recovery and Resilience Plan), the adoption of the HB-HTA method will represent a strategic lever to support clinical and organizational decision-making processes governance.
2. Arce HE. How to face the rising costs of healthcare? Medicina (B Aires). 2019;79(Spec 6/1):529-533. English.
3. Cicchetti A, Marchetti M. La valutazione delle tecnologie sanitarie. Una guida pratica per le aziende sanitarie. Roma: Carocci editore; 2015: 32-34
4. O’Rourke B, Oortwijn W, Schuller T. International Joint Task Group. The new definition of health technology assessment: A milestone in international collaboration. Int J Technol Assess Health Care 2020 Jun;36(3):187-190. doi: 10.1017/S0266462320000215.
5. Lega F. Management e leadership dell’azienda sanitaria. Conoscere il settore e il sistema, organizzare i servizi, dirigere i professionisti. Milano: Egea; 2016.
6. Brown D. A Review of the PubMed PICO Tool: Using Evidence-Based Practice in Health Education. Health Promot Pract 2020 Jul;21(4):496-498. doi: 10.1177
7. Kaló Z, Gheorghe A, Huic M, Csanádi M, Kristensen FB. HTA Implementation Roadmap in Central and -Eastern European Countries. Health Econ 2016 Feb;25 Suppl 1(Suppl Suppl 1):179-92. doi: 10.1002/hec.3298.
8. Gagnon MP, Desmartis M, Poder T, Witteman W. Effects and repercussions of local/hospital-based health technology assessment (HTA): a systematic review. Syst Rev 2014 Oct 28;3:129. doi: 10.1186/2046-4053-3-129.
9. Walker DG, Wilson RF, Sharma R, et al. Best Practices for Conducting Economic Evaluations in Health Care: A Systematic Review of Quality Assessment Tools [Internet]. Rockville (MD): Agency for Healthcare Research and Quality (US); 2012 Oct. Report No.: 12(13)-EHC132-EF.
10. Husereau D, Drummond M, Petrou S, et al. ISPOR Health Economic Evaluation Publication Guidelines-CHEERS Good Reporting Practices Task Force. Consolidated Health Economic Evaluation Reporting Standards (CHEERS)--explanation and elaboration: a report of the ISPOR Health Economic Evaluation Publication Guidelines Good Reporting Practices Task Force. Value Health 2013 Mar-Apr;16(2):231-50. doi: 10.1016/j
11. Office of Technology Assessment. Development of medical technology, opportunities for assessment. Washington, DC: US Government Printing Office; 1976 https://www.princeton
.edu/~ota/disk3/1976/7617/7617.PDF [consulted on 11 January 2023]
12. Banta D, Jonsson E. History of HTA: Introduction. Int J Technol Assess Health Care 2009 Jul;25 Suppl 1:1-6. doi:10.1017/S0266462309090321
13. Longo M, Cassoli IP, Fugazzola L, Vannucchi G, Lanzoni M, Castaldi S. Feasibility study for the introduction of a new treatment method for benign thyroid nodules in a teaching and research hospital. J Eval Clin Pract 2014 Oct;20(5):617-21. doi: 10.1111/jep.12177.
14. Hussain MS, Silvera-Tawil D, Farr-Wharton G. Technology assessment framework for precision health applications. Int J Technol Assess Health Care 2021 May 26;37(1):e67. doi: 10.1017/S0266462321000350.
15. Drummond MF, Schwartz JS, Jönsson B, et al. Key principles for the improved conduct of health technology assessments for resource allocation decisions. Int J Technol Assess Health Care 2008 Summer;24(3):244-58; discussion 362-8. doi: 10.1017/S0266462308080343.
16. Ferraro S, Biganzoli EM, Castaldi S, Plebani M. Health Technology Assessment to assess value of biomarkers in the decision-making process. Clin Chem Lab Med. 2022 Mar 3;60(5):647-654. doi: 10.1515/cclm-2021-1291.
17. European Parliamentary Research Service (EPRS). -Italy’s National Recovery and Resilience Plan. https://www
/EPRS_BRI(2021)698847_EN.pdf [consulted on 17 -January 2023].
18. Italian Government. Italia Domani, the National Recovery and Resilience Plan. https://www.italiadomani.gov.it/content
-tecnologico-degli-ospedali.html [consulted on 11 January 2023].