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A CONSULTATION GUIDE FOR ASSESSING THE APPLICABILITY OF HEALTH TECHNOLOGIES:A CASE STUDY

Published online by Cambridge University Press:  05 September 2017

Stephanie Polus ,
Lisa Pfadenhauer ,
Louise Brereton ,
Wojciech Leppert ,
Philip Wahlster ,
Ansgar Gerhardus  and
Eva Rehfuess
Stephanie Polus
Affiliation:
Institute for Medical Information Processing, Biometry and Epidemiology Pettenkofer School of Public Health, LMU Munichpolus@ibe.med.uni-muenchen.de
Lisa Pfadenhauer
Affiliation:
Institute for Medical Information Processing, Biometry and Epidemiology Pettenkofer School of Public Health, LMU Munich
Louise Brereton
Affiliation:
College of Health and Social Care, University of Lincoln ScHARR, University of Sheffield
Wojciech Leppert
Affiliation:
Department of Palliative Medicine, Poznan University of Medical Sciences
Philip Wahlster
Affiliation:
Department of Health Services Research, University of Bremen Center for General Practice, Medical Faculty, Saarland University
Ansgar Gerhardus
Affiliation:
Department of Health Services Research, University of Bremen Health Sciences Bremen, University of Bremen
Eva Rehfuess
Affiliation:
Institute for Medical Information Processing, Biometry and Epidemiology Pettenkofer School of Public Health, LMU Munich
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Abstract

Objectives: The translation of research findings into policy and practice is crucially dependent on the applicability of such findings in a given decision-making context. We explored in a case study whether a generic consultation guide to assess the applicability of a health technology could be rapidly deployed and deliver useful insights.

Methods: A consultation guide based on the context and implementation for complex interventions (CICI) framework was developed and piloted to assess the applicability of reinforced home-based palliative care in three European countries. Individual consultations in England and Germany and a panel discussion in Poland were completed.

Results: Various barriers may hinder successful implementation of reinforced home-based palliative care in the three countries. Whilst the experts across all countries emphasized the lack of funding along with organization and structure as major barriers, information varied by country for many of the other identified barriers and facilitators. Participants in the pilot study provided positive feedback in terms of understanding the topic and purpose of the consultation, and both individual and panel consultations could be easily implemented.

Conclusions: In this case study, the consultation guide presented a pragmatic, ready-to-use tool to assess the applicability of a health technology. As shown here, it can be used in a generic manner without discrete empirical information on the technology in question or, ideally, makes use of specific information collected as part of a HTA. Further studies are needed to validate this guide and apply it to other types of health technologies and more diverse decision-making contexts.

Keywords

Health technology assessmentDecision support techniques or decision makingEvidence-based medicinePalliative care
Type
Theme Submissions
Information
International Journal of Technology Assessment in Health Care , Volume 33 , Issue 5: Assessing Health Technologies in an Integrated Way-Results of the INTEGRATE-HTA Project , 2017 , pp. 577 - 585
Copyright
Copyright © Cambridge University Press 2017 

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