Health Technology Assessment in U.S. Hospitals: A Qualitative Study.

Q4 Medicine
Biomedical Instrumentation and Technology Pub Date : 2024-01-01 Epub Date: 2024-10-16 DOI:10.2345/0899-8205-58.4.67
Scott Skinner
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引用次数: 0

Abstract

Objective: The processes of evaluating and selecting health technologies in hospitals have been extensively explored. However, few studies have been specific to U.S. hospitals, and none has approached the subject from the perspective of clinical engineering (CE)/healthcare technology management (HTM) professionals. This study specifically explored the intraorganizational phenomenon of how electronic medical equipment (EME) is evaluated and selected in U.S. hospitals from the perspective of CE/HTM professionals. Methods: The study was qualitative, incorporating semistructured interviews conducted with 10 CE/HTM professionals. Interviews were carried out via Internet conferencing and recorded. The recordings were transcribed and the transcripts analyzed using the constant comparative method and grounded theory. Results: Participants were able to describe details of the intraorganizational processes used to evaluate and select EME within their hospitals. Themes that emerged included coronavirus disease 2019 impact, growing influence over time, multidisciplinary committees, negative outcomes, organizational factors, and process definition/exceptions. Conclusion: This study found a variety of recurring themes associated with the evaluation and selection processes for EME from the perspective of CE/HTM professionals in U.S. hospitals. Participants had varying degrees of power and influence with the processes. The themes may inform CE/HTM professionals seeking to grow their involvement with such processes.

美国医院卫生技术评估:一项定性研究。
目的:广泛探讨医院卫生技术评价与选择的过程。然而,很少有研究是针对美国医院的,也没有研究是从临床工程(CE)/医疗技术管理(HTM)专业人员的角度来探讨这一主题的。本研究专门从CE/HTM专业人员的角度探讨了美国医院如何评估和选择电子医疗设备(EME)的组织内现象。方法:本研究采用定性方法,结合对10名CE/HTM专业人员进行的半结构化访谈。访谈通过网络会议进行并录音。对录音进行转录,并使用恒定比较法和扎根理论对转录进行分析。结果:参与者能够描述用于在其医院内评估和选择EME的组织内过程的细节。出现的主题包括2019年冠状病毒病的影响、随着时间的推移影响越来越大、多学科委员会、负面结果、组织因素和流程定义/例外。结论:本研究发现,从美国医院CE/HTM专业人员的角度来看,与EME的评估和选择过程相关的各种反复出现的主题。参与者在过程中拥有不同程度的权力和影响力。这些主题可以为行政长官/HTM专业人员提供信息,以便他们更多地参与这些过程。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Biomedical Instrumentation and Technology
Biomedical Instrumentation and Technology Computer Science-Computer Networks and Communications
CiteScore
1.10
自引率
0.00%
发文量
16
期刊介绍: AAMI publishes Biomedical Instrumentation & Technology (BI&T) a bi-monthly peer-reviewed journal dedicated to the developers, managers, and users of medical instrumentation and technology.
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