Hostname: page-component-78c5997874-mlc7c Total loading time: 0 Render date: 2024-11-13T08:17:02.579Z Has data issue: false hasContentIssue false
  • English
  • Français

SUPPORTING DECISION MAKING IN CROSS-BORDER REGIONS: A HEALTH TECHNOLOGY ASSESSMENT TOOL FOR HOSPITALS

Published online by Cambridge University Press:  20 December 2012

Saskia Knies ,
Gloria Lombardi ,
Matt Commers ,
Hans-Peter Dauben ,
Silvia Evers ,
Kai Michelsen ,
Wija Oortwijn ,
Chibuzo Opara  and
Helmut Brand
Saskia Knies
Affiliation:
Department of International Health and Department of Health Services Research, Maastricht University
Gloria Lombardi
Affiliation:
European Hospital and Healthcare Federation (HOPE)
Matt Commers
Affiliation:
Department of International Health, Maastricht University
Hans-Peter Dauben
Affiliation:
Deutsches Institut fur Medizinishe Dokumentation und Information (DIMDI)
Silvia Evers
Affiliation:
Department of Health Services Research, Maastricht University
Kai Michelsen
Affiliation:
Department of International Health, Maastricht University
Wija Oortwijn
Affiliation:
ECORYS Nederland BV
Chibuzo Opara
Affiliation:
Department of International Health, Maastricht University
Helmut Brand
Affiliation:
Department of International Health, Maastricht University
Get access Rights & Permissions [Opens in a new window]

Abstract

Objectives: The aim of this study was to develop an health technology assessment (HTA) decision tool to support the decision-making process on health technologies for hospital decision makers in cross-border regions.

Methods: Several methods were used to collect information necessary to develop the cross-border mini-HTA decision tool. The literature was inventoried on HTA in border regions and local settings and the use of HTA by local decision makers. Semi-structured interviews with hospital decision makers in cross-border regions were also performed. Based on group discussion of the resulting information, it was decided to use the Danish mini-HTA guideline as a starting point for development of the decision tool. After finishing the first version of the decision tool it was tested in two pilot studies

Results: Some questions in the Danish mini-HTA guideline were not relevant. Other questions needed rephrasing and questions about cross-border situations were added. The pilots showed several missing topics, including legal questions and reimbursement issues. The final decision tool consists of three sections: a general section, a section for hospitals not cooperating cross-border and a section for hospitals that are cooperating with hospitals across a national or regional border.

Conclusions: Based on our literature search, this may be the first cross-border mini-HTA decision tool. The decision tool will be of help for healthcare professionals and decision makers in border settings who would like to use HTA evidence to support their decision-making process.

Keywords

Decision toolHTAHospitalsCross-border regions
Type
METHODS
Information
International Journal of Technology Assessment in Health Care , Volume 29 , Issue 1 , January 2013 , pp. 71 - 78
Copyright
Copyright © Cambridge University Press 2012

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

REFERENCES

1.Glinos, IA, Baeten, R, Helble, M, Maarse, H. A typology of cross-border patient mobility. Health Place. 2010;16:1145–55.CrossRefGoogle ScholarPubMed
2.Danish Centre for Evaluation and Health Technology Assessment (DACEHTA). Introduction to mini-HTA - a management and decision support tool for the hospital service. Copenhagen: National Board of Health; 2005.Google Scholar
3.Ehlers, L, Vestergaard, M, Kidholm, K. Doing mini-health technology assessments in hospitals: a new concept of decision support in health care? Int J Technol Assess Health Care. 2006;22:295–301.CrossRefGoogle ScholarPubMed
4.Euregio, II. Solutions for improving health care cooperation in border regions. 2010. [cited 2011 June 7th]; Available from: www.inthealth.eu/research/euregio-ii.Google Scholar
5.European network for Health Technology Assessment (EUnetHTA). HTA core model for medical and surgical interventions. Work package 4, 2008, Finohta.Google Scholar
6.Evaluation of the cooperation of two University Hospitals in an European cross-border setting (ECOMA). 2011. [cited 2012 March 15]; Available from: www.inthealth.eu/research/ecoma.Google Scholar
7.Kidholm, K, Ehlers, L, Korsbeck, L, Kjaerby, R, Beck, M. Assessment of the quality of mini-HTA. Int J Technol Assess Health Care. 2009;25:42–8.CrossRefGoogle ScholarPubMed
8.Euregio, II Work Package 5. Guideline for the use of health technology assessment in cross-border setting in A deliverable of Work Package 5 ‘Use of HTA in cross border cooperation’ 2011. p. 1-51.; Available from: www.euregio2-conference.eu/info/doc_wp5.html.Google Scholar
9.Glinos, IA, Baeten, R. A Literature Review of Cross-border Patient Mobility in the European Union. Brussels: Observatoire social Europeen Brussels; 2006.Google Scholar