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Practice and challenges of HB-HTA in China: insights from hospital management and clinical perspectives
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DOI：10.1017/S026646232610381X.png)
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Abstract
En 中文
ObjectivesThis study aims to investigate the awareness; practices; needs; and challenges of hospital-based health technology assessment (HB-HTA) in China’s tertiary public hospitals; drawing on perspectives from both hospital management and clinical practice.MethodsSemi-structured interviews were conducted with seventeen participants representing six major tertiary public hospitals in China. Respondents included vice presidents; clinical department directors; and heads of pharmacy. The questionnaire explored four dimensions consistent with China’s national performance appraisal framework: medical quality; operational efficiency; sustainable development; and satisfaction. Data were analyzed using NVivo 14 for qualitative responses and Excel 2021 for quantitative metrics.ResultsThe findings revealed that 82.35 percent (14/17) of hospitals lacked dedicated HB-HTA teams; with decisions made primarily by coordination between Medical Affairs Offices (28.89 percent; 13/45) and Pharmacy Departments (22.22 percent; 10/45). Safety (28.26 percent; 13/46); effectiveness (23.91 percent; 11/46); and cost-effectiveness (19.57 percent; 9/46) were prioritized criteria; yet only 29.41 percent (5/17) of institutions used formal HB-HTA tools. Divergence persisted between administrators’ organizational priorities and clinicians’ patient-centered perspectives. Despite barriers reported by 62.8 percent (27/43) of respondents’ institutions; 88.24 percent (15/17) expressed an urgent or recognized need for HB-HTA implementation.ConclusionsFor effective HB-HTA implementation in China; addressing capacity deficits and reconciling stakeholder perspectives is essential. A project-based strategy; supported by government real-world data platforms and interdisciplinary teams; is recommended for contextually-appropriate evaluation frameworks.
Keywords:
hospital-based health technology assessment
hospital management
decision making
medical technology adoption
China
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