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Priority setting for technology adoption at a hospital level: Relevant issues from the literature

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  • Lettieri, Emanuele
  • Masella, Cristina

Abstract

Objectives The increasing pace of development of healthcare technologies obliges hospitals to increase both the rationality and the accountability of priority setting for technology adoption. This paper aims at identifying which are the relevant issues for technology assessment and selection at a hospital level and at grouping them in a reference framework.Methods An electronic search from January 1990 onwards, covering PubMed, Medline and CILEA, has been carried out in order to collect the relevant contributions. A total of 20 studies were selected from the fields of health policy, management of technology and biomedical engineering.Results Two main assessment perspectives have been identified and detailed: value generation at a hospital level and level of sustainability in the implementation stage. Four types of investment in technology at a hospital level have been identified combining the perspectives. Moreover, the two perspectives have been deployed in a list of 19 relevant issues that should be reviewed during the budget process.Conclusion The proposed framework can aid priority setting for technology adoption at a hospital level and contribute to increase both the rationality and the accountability of technology assessment and selection in the budget process.

Suggested Citation

  • Lettieri, Emanuele & Masella, Cristina, 2009. "Priority setting for technology adoption at a hospital level: Relevant issues from the literature," Health Policy, Elsevier, vol. 90(1), pages 81-88, April.
    • Handle: RePEc:eee:hepoli:v:90:y:2009:i:1:p:81-88
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    References listed on IDEAS

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    1. Reeleder, David & Goel, Vivek & Singer, Peter A. & Martin, Douglas K., 2006. "Leadership and priority setting: The perspective of hospital CEOs," Health Policy, Elsevier, vol. 79(1), pages 24-34, November.
    2. Madden, Shannon & Martin, Douglas K. & Downey, Sarah & Singer, Peter A., 2005. "Hospital priority setting with an appeals process: a qualitative case study and evaluation," Health Policy, Elsevier, vol. 73(1), pages 10-20, July.
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    5. Farrar, Shelley & Ryan, Mandy & Ross, Donald & Ludbrook, Anne, 2000. "Using discrete choice modelling in priority setting: an application to clinical service developments," Social Science & Medicine, Elsevier, vol. 50(1), pages 63-75, January.
    6. Keen, Justin & Bryan, Stirling & Muris, Nicole & Weatherburn, Gwyn & Buxton, Martin, 1995. "Evaluation of diffuse technologies: the case of digital imaging networks," Health Policy, Elsevier, vol. 34(3), pages 153-166, December.
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    1. Lettieri, Emanuele, 2009. "Uncertainty inclusion in budgeting technology adoption at a hospital level: Evidence from a multiple case study," Health Policy, Elsevier, vol. 93(2-3), pages 128-136, December.

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