Impact of CEDIT recommendations: An example of health technology assessment in a hospital network.
OBJECTIVE
The objective of this study is to assess the impact of CEDIT (French Committee for the Assessment and Dissemination of Technological Innovations) recommendations on the introduction of technological innovations within the AP-HP (Assistance Publique-Hôpitaux de Paris), the French hospital network to which this body is attached.


METHODS
In 2002, a study based on semidirective interviews of fourteen people affected by these recommendations and a case study relating to thirteen recommendations issued between 1995 and 1998 were conducted.


RESULTS
The CEDIT is very scientifically reputable among interviewees. There is generally widespread interest for the recommendations. They are used as decision-making tools by administrative staff and as negotiating instruments by doctors in their dealings with management. Based on the case study, ten of thirteen recommendations had an impact on the introduction of the technology in health establishments. One recommendation appears not to have had an impact. Furthermore, the impact of two technologies was impossible to assess.


CONCLUSIONS
This study highlights the significant impact of recommendations arising from a structure that is attached to a hospital network and the good match between CEDIT's objectives and its assignments.
Department of Medical Activities, Assistance Publique-Hopitaux de Paris (AP-HP), Paris, France. livinec@vjf.inserm.fr
Florence
F
Bodeau-Livinec
Emmanuelle
E
Simon
Catherine
C
Montagnier-Petrissans
Marie-Eve
ME
Joël
Elisabeth
E
Féry-Lemonnier
D003657:Decision Making; D004059:Diffusion of Innovation; D005602:France; D006739:Hospital Administration; D006801:Humans; D013673:Technology Assessment, Biomedical / Q000458:organization & administration*