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Hospital-based health technology assessment of innovative medical devices: insights from a nationwide survey in France

Author

Listed:
  • Tess Martin

    (HEGP - Hôpital Européen Georges Pompidou [APHP] - AP-HP - Assistance publique - Hôpitaux de Paris (AP-HP) - HUPO - Hôpitaux Universitaires Paris Ouest - Hôpitaux Universitaires Île de France Ouest, Université Paris-Saclay, U932 - Immunité et cancer - Institut Curie [Paris] - INSERM - Institut National de la Santé et de la Recherche Médicale, UPCité - Université Paris Cité)

  • Alessandra Guercio

    (HEGP - Hôpital Européen Georges Pompidou [APHP] - AP-HP - Assistance publique - Hôpitaux de Paris (AP-HP) - HUPO - Hôpitaux Universitaires Paris Ouest - Hôpitaux Universitaires Île de France Ouest, Université Paris-Saclay, U932 - Immunité et cancer - Institut Curie [Paris] - INSERM - Institut National de la Santé et de la Recherche Médicale, UPCité - Université Paris Cité)

  • Hélène Besseau

    (Université Paris-Saclay)

  • Laure Huot

    (RESHAPE - Inserm U1290 - UCBL1 - Research on Healthcare Performance - UCBL - Université Claude Bernard Lyon 1 - Université de Lyon - INSERM - Institut National de la Santé et de la Recherche Médicale, HCL - Hospices Civils de Lyon, P2S - Parcours santé systémique - UCBL - Université Claude Bernard Lyon 1 - Université de Lyon)

  • Pascale Guerre

    (RESHAPE - Inserm U1290 - UCBL1 - Research on Healthcare Performance - UCBL - Université Claude Bernard Lyon 1 - Université de Lyon - INSERM - Institut National de la Santé et de la Recherche Médicale, HCL - Hospices Civils de Lyon, P2S - Parcours santé systémique - UCBL - Université Claude Bernard Lyon 1 - Université de Lyon)

  • Jamal Atfeh

    (RESHAPE - Inserm U1290 - UCBL1 - Research on Healthcare Performance - UCBL - Université Claude Bernard Lyon 1 - Université de Lyon - INSERM - Institut National de la Santé et de la Recherche Médicale, HCL - Hospices Civils de Lyon, P2S - Parcours santé systémique - UCBL - Université Claude Bernard Lyon 1 - Université de Lyon)

  • Laurent Piazza

    (CHU Bordeaux - Centre Hospitalier Universitaire de Bordeaux)

  • Judith Pineau

    (HEGP - Hôpital Européen Georges Pompidou [APHP] - AP-HP - Assistance publique - Hôpitaux de Paris (AP-HP) - HUPO - Hôpitaux Universitaires Paris Ouest - Hôpitaux Universitaires Île de France Ouest, Université Paris-Saclay, U932 - Immunité et cancer - Institut Curie [Paris] - INSERM - Institut National de la Santé et de la Recherche Médicale, UPCité - Université Paris Cité)

  • Brigitte Sabatier

    (HeKA - Health data- and model- driven Knowledge Acquisition - Centre Inria de Paris - Inria - Institut National de Recherche en Informatique et en Automatique - CRC (UMR_S_1138 / U1138) - Centre de Recherche des Cordeliers - EPHE - École Pratique des Hautes Études - PSL - Université Paris Sciences et Lettres - INSERM - Institut National de la Santé et de la Recherche Médicale - SU - Sorbonne Université - UPCité - Université Paris Cité, HEGP - Hôpital Européen Georges Pompidou [APHP] - AP-HP - Assistance publique - Hôpitaux de Paris (AP-HP) - HUPO - Hôpitaux Universitaires Paris Ouest - Hôpitaux Universitaires Île de France Ouest, CRC (UMR_S_1138 / U1138) - Centre de Recherche des Cordeliers - EPHE - École Pratique des Hautes Études - PSL - Université Paris Sciences et Lettres - INSERM - Institut National de la Santé et de la Recherche Médicale - SU - Sorbonne Université - UPCité - Université Paris Cité)

  • Isabelle Borget

    (CESP - Centre de recherche en épidémiologie et santé des populations - UVSQ - Université de Versailles Saint-Quentin-en-Yvelines - AP-HP - Assistance publique - Hôpitaux de Paris (AP-HP) - Hôpital Paul Brousse - INSERM - Institut National de la Santé et de la Recherche Médicale - Université Paris-Saclay, U1018 (Équipe 2) - Oncostat - IGR - Institut Gustave Roussy - CESP - Centre de recherche en épidémiologie et santé des populations - UVSQ - Université de Versailles Saint-Quentin-en-Yvelines - AP-HP - Assistance publique - Hôpitaux de Paris (AP-HP) - Hôpital Paul Brousse - INSERM - Institut National de la Santé et de la Recherche Médicale - Université Paris-Saclay, Université Paris-Saclay, IGR - Institut Gustave Roussy, GRADES - Groupe de Recherche et d'Accueil en Droit et Economie de la Santé - Université Paris-Saclay)

  • Nicolas Martelli

    (HEGP - Hôpital Européen Georges Pompidou [APHP] - AP-HP - Assistance publique - Hôpitaux de Paris (AP-HP) - HUPO - Hôpitaux Universitaires Paris Ouest - Hôpitaux Universitaires Île de France Ouest, Université Paris-Saclay, U932 - Immunité et cancer - Institut Curie [Paris] - INSERM - Institut National de la Santé et de la Recherche Médicale, UPCité - Université Paris Cité)

Abstract

Objectives To better understand the process of hospital acquisition of innovative medical devices (MDs) and the hospital-based health technology assessment (HB-HTA) pathways in France, an in-depth study based on a quantitative approach is needed. The aim of the present study was to assess through a national survey how HB-HTA is currently implemented in French hospitals and to identify its level of formalization. Methods A quantitative online survey was conducted among hospitals performing HB-HTA in France, with a focus on the acquisition of innovative MDs for individual use. The survey, conducted between March and June 2022, was developed by a scientific board composed of members of the French-speaking Society for HB-HTA. Results Sixty-seven out of 131 surveyed hospitals with HB-HTA activities responded, including 29 university hospitals, 24 nonprofit private hospitals, and 14 local hospitals. Sixty-one respondents (91 percent) reported the existence of a process dedicated to evaluating innovative MDs; of these, 16 declared that their hospitals had a formalized unit with HB-HTA activity. These units were more frequently found in larger hospitals with more than 500 inpatient beds (n = 16, p = 0.0160) and in university hospitals (n = 12, p = 0.0158). No hospital reported any collaboration with HAS, the French national HTA agency. Conclusion A diverse range of HB-HTA organizations with different structural levels exist in France for MD procurement linked to the category of hospitals. The study highlights the need for recognition of HB-HTA activity at the regulatory level in France and for direct collaboration between HTA activities performed at local and national levels.

Suggested Citation

  • Tess Martin & Alessandra Guercio & Hélène Besseau & Laure Huot & Pascale Guerre & Jamal Atfeh & Laurent Piazza & Judith Pineau & Brigitte Sabatier & Isabelle Borget & Nicolas Martelli, 2023. "Hospital-based health technology assessment of innovative medical devices: insights from a nationwide survey in France," Post-Print hal-04816618, HAL.
    • Handle: RePEc:hal:journl:hal-04816618
    DOI: 10.1017/S0266462323000521
    as

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