International Journal of Hospital Based Health Technology Assessment最新文献

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Early realistic assessment of the development of innovative medical technologies in hospitals (EARTH): a conceptual model 医院创新医疗技术发展的早期现实评估(EARTH):一个概念模型

International Journal of Hospital Based Health Technology Assessment Pub Date : 2019-03-01 DOI: 10.21965/IJHBHTA.2019.001

I. Fasterholdt, K. Kidholm, K. Yderstræde, K. M. Pedersen

{"title":"Early realistic assessment of the development of innovative medical technologies in hospitals (EARTH): a conceptual model","authors":"I. Fasterholdt, K. Kidholm, K. Yderstræde, K. M. Pedersen","doi":"10.21965/IJHBHTA.2019.001","DOIUrl":"https://doi.org/10.21965/IJHBHTA.2019.001","url":null,"abstract":"©2019 Fasterholdt et al., publisher and licensee CybelePress.com. This is an Open Access article which permits unrestricted noncommercial use, provided the original work is properly cited. Abstract: Hospital innovation centres increasingly make decisions concerning early development of and investment in innovative medical technologies (IMTs). At present, decisions are often made without applying a formal early assessment process to ensure selection of the most promising candidates for further development. This paper conceptualises and presents a novel model for early realistic assessment of the development of innovative medical technologies in hospitals (EARTH). The development of EARTH was based on results from a qualitative interview study exploring early assessment models in 11 organisations and a literature review of 24 models. The findings, combined with an appraisal of the models holding the most promise for hospital decision makers, led to EARTH. Eleven early assessment principles for EARTH were identified and used to create a guideline for performing and organising early assessment. The guideline consists of an analysis track and a decision track supported by three templates and five methods. In the analysis track, an impact case, a risk analysis and a “critical questioning” procedure are key elements, while in the decision track, an “evidence threshold” for “go” to usual clinical testing is essential. A model for early assessment in hospitals is proposed. EARTH (theoretically) demonstrates how a hospital can add rigour to decision making on which IMTs to pursue for further development and usual clinical testing. EARTH exhibits several desirable features relevant for early assessment, compared to traditional assessment models actually applied in hospitals. We thus believe that early assessment carries the promise of improving hospitals’ investment decisions and resource allocation during development.","PeriodicalId":406099,"journal":{"name":"International Journal of Hospital Based Health Technology Assessment","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128653415","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Cost analysis of a mind–body intervention compared to usual hospital-based outpatient visits in HIV-infected individuals: a feasibility study 对hiv感染者进行身心干预与常规医院门诊的成本分析:可行性研究

International Journal of Hospital Based Health Technology Assessment Pub Date : 1900-01-01 DOI: 10.21965/IJHBHTA.2020.001

I. Fasterholdt, K. Kidholm, T. Laursen, L. Rodkjær

{"title":"Cost analysis of a mind–body intervention compared to usual hospital-based outpatient visits in HIV-infected individuals: a feasibility study","authors":"I. Fasterholdt, K. Kidholm, T. Laursen, L. Rodkjær","doi":"10.21965/IJHBHTA.2020.001","DOIUrl":"https://doi.org/10.21965/IJHBHTA.2020.001","url":null,"abstract":"©2020 Fasterholdt et al., publisher and licensee CybelePress.com. This is an Open Access article which permits unrestricted noncommercial use, provided the original work is properly cited. Abstract: This study compared the costs of a mind–body intervention with usual care for individuals infected with HIV (Human Immunodeficiency Virus). Further, consequences on labour market attachment were explored. The cost analysis was nested in a randomized controlled trial conducted in 2015 at the Department of Infectious Diseases at Aarhus University Hospital, Denmark. A total of 30 patients were randomized to one of two arms. The intervention consisted of a group intervention facilitated by an educated coach. Usual care consisted of standard outpatient visits alone. Total healthcare and patient costs were estimated over a twelve-month period at individual level from a societal perspective. Costs of resource used in primary and secondary health sectors were included as well as patient costs. To explore uncertainty one-way sensitivity analysis was performed. Total costs were found to be on average €14,549 less per patient compared to usual care. However, this difference was not statistically significant. Number of working hours and proportion of persons employed per year in the two groups were similar. The sensitivity analysis showed that the absolute difference in costs observed was due to one control patient with an extremely high use of hospital resources. The absolute difference in costs was similar to the base case when using two-year follow-up. This small feasibility study indicate that it is possible to deliver an extra service for HIV-infected individuals in the form of a mind–body intervention at roughly similar costs compared with standard outpatient visits alone.","PeriodicalId":406099,"journal":{"name":"International Journal of Hospital Based Health Technology Assessment","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127474289","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0