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

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Title Decision Making Processes for Introducing New Health Technology at Institutional Level: Decision Makers' Perspective
Author Sa'aid, Hafizah Besar; Stewart, Donald Edwin; England, Ian William Robert
Journal Name World Review of Business Research
Editor J. Okpara
Year Published 2011
Place of publication Australia
Publisher World Business Institute
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 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.
Peer Reviewed Yes
Published Yes
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Copyright Statement Copyright 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.
Volume 1
Issue Number 2
Page from 10
Page to 19
ISSN 1838-3955
Date Accessioned 2011-06-14
Language en_AU
Research Centre Population and Social Health Research Program; Menzies Health Institute Qld
Faculty Griffith Health Faculty
Subject Health Care Administration
Publication Type Journal Articles (Refereed Article)
Publication Type Code c1

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