title: Hospital-based health technology assessment: developments to date.
abstract: Health technology assessment (HTA) uses a multidisciplinary approach to answer relevant questions regarding the safety, efficacy, effectiveness and cost-effectiveness of health technologies. There is growing interest in implementing HTA methods at the hospital level because it could facilitate decision-making regarding acquisition, implementation or discontinuation of technologies or interventions within the hospital. First, this article provides an overview of current international experiences and knowledge of hospital-based HTA. Then, it presents the different types of hospital-based HTA, providing examples of each of these models, as well as their strengths and limitations. Finally, it proposes a set of emerging issues that could help inform decision-makers who consider implementing hospital-based HTA, or other stakeholders interested in the field.
authors.affiliation: Centre de Recherche du CHU de Québec, Hôpital St-François D'Assise, 10 rue de L'Espinay, D6-726, Quebec City, QC, G1L 3L5, Canada, marie-pierre.gagnon@fsi.ulaval.ca.
authors.forename: Marie-Pierre
authors.initials: MP
authors.lastname: Gagnon
mesh_terms: D002170:Canada; D003659:Decision Making, Organizational; D005060:Europe; D019317:Evidence-Based Medicine; D006739:Hospital Administration; D006761:Hospitals; D006801:Humans; D038622:Internationality; D016134:Organizational Policy; D013673:Technology Assessment, Biomedical / Q000379:methods*