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- Title
Decision-Making on New Non-Drug Health Technologies by Hospitals and Health Authorities in Canada.
- Authors
STAFINSKI, TANIA; DEBER, RAISA; RHAINDS, MARC; MARTIN, JANET; NOSEWORTHY, TOM; BRYAN, STIRLING; MENON, DEVIDAS
- Abstract
Introduction: Unlike those for publicly funded drugs in Canada, coverage decision-making processes for non-drug health technologies (NDTs) are not well understood. Objectives: This paper aims to describe existing NDT decision-making processes in different healthcare organizations across Canada. Methods: A self-administered survey was used to determine demographic and financial characteristics of organizations, followed by in-depth interviews with senior leadership of consenting organizations to understand the processes for making funding decisions on NDTs. Results: Seventy-three and 48 organizations completed self-administered surveys and telephone interviews, respectively (with 45 participating in both ways). Fifty-five different processes were identified, the majority of which addressed capital equipment. Most involved multidisciplinary committees (with medical and non-medical representation), but the types of information used to inform deliberations varied. Across all processes, decision-making criteria included local considerations such as alignment with organizational priorities. Conclusions: NDT decision-making processes vary in complexity, depending on characteristics of the healthcare organization and context.
- Subjects
CANADA; BUDGET; DECISION making; HEALTH facilities; INTERVIEWING; MEDICAL technology; QUESTIONNAIRES; RESEARCH funding; SURVEYS; INFORMATION resources; FINANCIAL management; QUANTITATIVE research; THEMATIC analysis; DESCRIPTIVE statistics
- Publication
Healthcare Policy, 2019, Vol 15, Issue 1, p82
- ISSN
1715-6572
- Publication type
Article