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  • Decision Making Processes for Introducing New Health Technology at Institutional Level: Decision Makers' Perspective

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    71120_1.pdf (226.2Kb)
    Author(s)
    Sa'aid, Hafizah Besar
    Stewart, Donald
    England, Ian
    Griffith University Author(s)
    Stewart, Donald E.
    England, Ian
    Besar Sa'aid, Hafizah
    Year published
    2011
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    Abstract
    New health technologies have significantly improved health and quality of life. Nevertheless, they also create challenges in ensuring value for money and concerns over safety and efficacy. Health technology assessment (HTA) has been recognised as an essential tool in addressing these issues. However, concern about HTA dissemination and use by decision makers at institutional level has been expressed. This study explores health care decision makers' experiences concerning decision-making processes for the introduction and adoption of new health technologies at one group of not-for-profit private hospitals in South East ...
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    New health technologies have significantly improved health and quality of life. Nevertheless, they also create challenges in ensuring value for money and concerns over safety and efficacy. Health technology assessment (HTA) has been recognised as an essential tool in addressing these issues. However, concern about HTA dissemination and use by decision makers at institutional level has been expressed. This study explores health care decision makers' experiences concerning decision-making processes for the introduction and adoption of new health technologies at one group of not-for-profit private hospitals in South East Queensland. The aim of the study was to gain knowledge about HTA adoption at institutional level and suggest ways to encourage diffusion of HTA into practice. Thirteen in-depth, semi-structured interviews were conducted with key decision makers. Interviewees described decision-making processes as 'informal'. Safety and effectiveness were considered important, but cost and doctor demand were the standard drivers for decisions about the uptake of new technologies. The decision makers were generally unclear about HTA and its potential. Most information for decisions was based on information from suppliers, other hospitals within the group, and the people or departments who requested the product. The main areas identified for improvement were a desire to have a more formal process for evaluating new health technology, the need for unbiased and timely information, and the use of hospital based, or local HTA. Findings from this study show that the evidence provided by HTA is not being fully utilised by decision makers in this group of hospitals to make informed decisions.
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    Journal Title
    World Review of Business Research
    Volume
    1
    Issue
    2
    Publisher URI
    http://www.wbiaus.org/2.%20Hafizah.pdf
    Copyright Statement
    © 2011 World Business Institute. The attached file is reproduced here in accordance with the copyright policy of the publisher. Please refer to the journal's website for access to the definitive, published version.
    Subject
    Health Care Administration
    Applied Economics
    Banking, Finance and Investment
    Business and Management
    Publication URI
    http://hdl.handle.net/10072/41254
    Collection
    • Journal articles

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