Evidence map›Paper›PMID 38727447›Full record

ArticleHealthcare (Basel, Switzerland)2024

Overcoming Barriers in Hospital-Based Health Technology Assessment (HB-HTA): International Expert Panel Consensus.

Iga Lipska, Rossella Di Bidino, Maciej Niewada, Bertalan Nemeth, Tomasz Bochenek, Monika Kukla, Barbara Więckowska, Alicja Sobczak, Katarzyna Iłowiecka, Antal Zemplenyi and 11 more

Abstract read
In one paragraph

Article in Healthcare (Basel, Switzerland), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed.

  1. Article
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  5. Article
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  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. The potential of the hospital-based Health Technology Assessment: Results of a world-wide survey.International journal of technology assessment in health care · 2025
    Article
  13. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

21 authors.

Iga LipskaHealth Policy Institute, 00-819 Warsaw, Poland.ORCID 0000-0001-9600-1419
Rossella Di BidinoFondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168 Rome, Italy.ORCID 0000-0001-9773-856X
Maciej NiewadaDepartment of Experimental and Clinical Pharmacology, Medical University of Warsaw, 02-091 Warsaw, Poland.
Bertalan NemethSyreon Research Institute, 1142 Budapest, Hungary.
Tomasz BochenekDepartment of Nutrition and Drug Research, Institute of Public Health, Faculty of Health Sciences, Jagiellonian University Medical College, 31-126 Krakow, Poland.
Monika KuklaHospital-Based Health Technology Assessment Interest Group, Health Technology Assessment International, Edmonton, AB T6H 5P9, Canada.
Barbara WięckowskaSocial Insurance Department, Warsaw School of Economics, 02-554 Warsaw, Poland.
Alicja SobczakHealth Policy Institute, 00-819 Warsaw, Poland.
Katarzyna IłowieckaHealth Policy Institute, 00-819 Warsaw, Poland.ORCID 0009-0001-3851-8986
Antal ZemplenyiSyreon Research Institute, 1142 Budapest, Hungary.
Nicolas MartelliPharmacy Department, Georges Pompidou European Hospital, 75015 Paris, France.ORCID 0000-0001-5959-231X
Tess MartinPharmacy Department, Georges Pompidou European Hospital, 75015 Paris, France.ORCID 0000-0002-1839-4306
Olena FiliniukSafe, Affordable, and Effective Medicines for Ukrainians (SAFEMed) Activity, Management Sciences for Health, 02000 Kyiv, Ukraine.
Kostyantyn KosyachenkoDepartment of Management and Economy of Pharmacy, Bogomolets National Medical University, 01601 Kyiv, Ukraine.
Rabia SucuHospital-Based Health Technology Assessment Interest Group, Health Technology Assessment International, Edmonton, AB T6H 5P9, Canada.
Oresta PiniazhkoDepartment of Health Technology Assessment, State Expert Center, Ministry of Health of Ukraine, 01021 Kyiv, Ukraine.ORCID 0000-0003-1131-733X
Olha ZaliskaDepartment of Management and Economy of Pharmacy, Medicine Technology and Pharmacoeconomics, Faculty of Postgraduate Education, Danylo Halytsky Lviv National Medical University, 79010 Lviv, Ukraine.
Andrey AvdeyevMedical Center Hospital of the President's Affairs Administration of the Republic of Kazakhstan, Astana 010000, Kazakhstan.ORCID 0000-0001-8509-6053
Nasrulla ShanazarovMedical Center Hospital of the President's Affairs Administration of the Republic of Kazakhstan, Astana 010000, Kazakhstan.ORCID 0000-0002-2976-259X
Marina von PinociCare Quality Division, Hôpitaux Universitaires de Genève, 1211 Geneva, Switzerland.
Rok HrenSyreon Research Institute, 1142 Budapest, Hungary.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The purpose of this article is to investigate the common facilitators and barriers associated with the implementation of hospital-based health technology assessment (HB-HTA) across diverse hospital settings in seven countries. Through a two-round Delphi study, insights were gathered from a panel of 15 HTA specialists from France, Hungary, Italy, Kazakhstan, Poland, Switzerland, and Ukraine. Experts initially conducted a comprehensive review of the HB-HTA implementation in their respective countries, identifying the barriers and facilitators through descriptive analysis. Subsequently, panel experts ranked these identified barriers and facilitators on a seven-point Likert scale. A median agreement score ≥ 6 and interquartile range (IQR) ≤ 1 was accepted as reaching a consensus. Out of the 12 statements categorized as external and internal barriers and facilitators, the expert panel reached consensus on six statements (two barriers and four facilitators). The external barrier, which achieved consensus, was the lack of the formal recognition of the role of HB-HTA in national or regional legislations. The internal barrier reaching consensus was the limited availability of human resources dedicated to HB-HTA. This qualitative study indicates that HB-HTA still has progress to make before being formally accepted and integrated across most countries, although by building on the facilitating factors we identified there may be an opportunity for the implementation of internationally developed strategies to strengthen HB-HTA practices.

Indexed as

barriers influencing implementationdecision making in hospitalsfacilitators influencing implementationhospital-based health technology assessment

Identifiers

PMID38727447
PMCPMC11083158

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.