Criteria for evaluating new health technologies used by Health Institutions in Antioquia, Colombia: Cross-sectional study

Main Article Content

Juan Guillermo Barrientos Gómez
Laura Becerra Ruiz
María Alejandra Tobón Arango
Andrés Eduardo Marín Castro
Esteban Villegas Arbeláez

Abstract

Introduction: A medical technology is the set of techniques, drugs, equipment, and procedures used by health professionals in the delivery of medical care.


Objective: to identify the criteria for evaluating new health technologies used by some hospitals.


Methodology: An observational cross-sectional study was carried out. All the directors of Hospitals and Clinics of the department of Antioquia who belonged to one and who were interested in participating in the research were included. A survey of 21 questions was applied.


Results: 60 % of the respondents gave the maximum importance to the capacity to produce damages in the care of patients, 90 % consider the criteria of clinical, ethical, and legal safety; and 100 % do it with the evaluation of cost effectiveness. In relation to the order of relevance for decision-making in the acquisition of new health technologies, it was evidenced that the institutional epidemiological profile had a higher rating.


Conclusions: The surveyed health institutions have established protocols in the evaluation of new health technologies. Likewise, the issues that are given the highest priority were identified, such as the issue of harm to patient care, clinical safety, ethical and legal aspects, and cost-effectiveness evaluation.

Keywords:
health technology assessment, cost–effectiveness, harm, security, ethics

Article Details

Author Biographies

Juan Guillermo Barrientos Gómez, Bolivarian University Clinic

Scientific direction. Bolivarian University Clinic. Medellin, Colombia.

Laura Becerra Ruiz, Pontifical Bolivarian University

Faculty of Medicine, Pontifical Bolivarian University. Medellin Colombia.

María Alejandra Tobón Arango , Pontifical Bolivarian University

Faculty of Medicine, Universidad Pontificia Bolivariana. Medellin, Colombia.

Andrés Eduardo Marín Castro, Pontifical Bolivarian University

Faculty of Medicine, Universidad Pontificia Bolivariana. Medellin, Colombia.

Esteban Villegas Arbeláez, Bolivarian University Clinic

Scientific direction. Bolivarian University Clinic. Medellin, Colombia.

References

Barrientos JG, Marín AE, Becerra L, Tobón MA. La evaluación de nuevas tecnologías en salud en hospitales: revisión narrativa. Med UPB. 2016; 35(2):120–34.

Vivas D, Cantó E. Guía para la evaluación de tecnologías de salud (ETS) en Instituciones Prestadoras de Servicios de Salud (IPS). Ministerio de Protección Social Colombia [Internet]. 2010 [citado el 24 de febrero de 2021]; disponible en: https://www.minsalud.gov.co/sites/rid/1/ Guia_evalucaion_de_tecnoclogias_en_salud.pdf

Health Technology Assessment International (HTAi) [Internet]. [citado el 25 de agosto de 2021]; disponible en: https://htai.org/about-htai/

Samprietro-Colom L, Lach K, Escolar I, Sroka S, Soto M, Cicchetti A, et al. A Handbook and a toolkit for hospital-based health technology assessment. Value Heal [Internet]. 2015 [citado el 24 de febrero de 2021]; 18(7):A556. Available from: http://www.valueinhealthjournal.com/ article/S1098301515038723/fulltext

Minsalud Colombia. Ley 1438 - Todos los elementos [Internet]. [citado el 24 de febrero de 2021]; disponible en: https://www.minsalud.gov.co/comunicadosprensa/lists/ley 1438/allitems.aspx

Miniati R, Frosini F, Cecconi G, Dori F, Gentili GB. Development of sustainable models for technology evaluation in hospital. Technol Heal Care. 2014; 22(5):729–39.

Pasternack I, Anttila H, Mäkelä M, Ikonen T, Räsänen P, Lampe K, et al. Testing the HTA core model: Experiences from two pilot projects. Int J Technol Assess Health Care. 2009; 25(Suppl. S2):21–7.

Buglioli M, Pérez A. Evaluación de tecnologías de salud. Rev Med Uruguay. 2002; 18:27–35.

Conde JL. Evaluación de tecnologías médicas basada en la evidencia. Madrid; 1999.

Schnell-Inderst P, Mayer J, Lauterberg J, Hunger T, Arvandi M, Conrads-Frank A, et al. Health technology assessment of medical devices: What is different? An overview of three European projects. Z Evid Fortbild Qual Gesundhwes. 2015; 109(4–5):309–18.

Ong B. The lay perspective in health technology assessment. Int J Technol Assess Health Care. 1996; 12(3):511–7.

Burls A, Caron L, Cleret De Langavant G, Dondorp W, Harstall C, Pathak-Sen E, et al. Tackling ethical issues in health technology assessment: A proposed framework. Int J Technol Assess Health Care. 2011; 27(3):230–7.

Rogers T, Lynn B. Hospital-based technology assessment. J Clin Eng. 2002; 27(4):276–9.

OMS. Evaluación de dispositivos médicos [Internet]. [citado el 24 de febrero de 2021]; disponible en: https://www.who.int/medical_devices/assessment/es/

Kidholm K, Ølholm AM, Birk-Olsen M, Cicchetti A, Fure B, Halmesmäki E, et al. Hospital managers’ need for information in decision-making-An interview study in nine European countries. Health Policy. 2015; 119(11):1424–32.

Stevens A, Milne R, Burls A. Health technology assessment: History and demand. J Public Health Med. 2003; 25(2):98–101.

Johnson-Masotti AP, Eva K. A Decision-making framework for the prioritization of health technologies [Internet]. 2017 [citado el 4 de mayo de 2021]; disponible en:

https://www.researchgate.net/publication/228994903_A_Decision Making_Framework_for_the_Prioritization_ of_Health_Technologies

Noorani HZ, Husereau DR, Boudreau R, Skidmore B. Priority setting for health technology assessments: A systematic review of current practical approaches. Int J Technol Assess Health Care. 2007; 23(3):310–5.

Attieh R, Gagnon MP. Implementation of local/hospital-based health technology assessment initiatives in low- and middle-income countries. Int J Technol Assess Health Care. 2012; 28(4):445–51.

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