Hospital-Based Health Technology Assessment

The Next Frontier for Health Technology Assessment

  • Laura Sampietro-Colom
  • Janet Martin

Table of contents

  1. Front Matter
    Pages i-xii
  2. Introduction

    1. Front Matter
      Pages 1-1
    2. Laura Sampietro-Colom, Janet Martin
      Pages 3-11
  3. HB-HTA Case Studies from Around the Globe

    1. Front Matter
      Pages 13-13
    2. Lennart Jivegård, Christina Bergh, Jenny Kindblom, Ola Samuelsson, Petteri Sjögren, Henrik Sjövall et al.
      Pages 15-28
    3. Risto P. Roine, Iris Pasternack
      Pages 29-37
    4. Kristian Kidholm, Anne Mette Ølholm
      Pages 39-44
    5. Gert Jan van der Wilt, Maroeska Rovers, Wija Oortwijn, Janneke Grutters
      Pages 45-55
    6. Laura Sampietro-Colom, Marcelo Soto, Cristina García, Soledad Benot
      Pages 57-69
    7. Alexandre Barna, Björn Fahlgren, Emmanuel Charpentier, Clément Taron-Brocard, Loïc Guillevin
      Pages 71-76
    8. Jean-Blaise Wasserfallen, Christophe Pinget
      Pages 77-83
    9. Marco Marchetti, Americo Cicchetti
      Pages 85-94
    10. Rabia Kahveci, Tanju Tütüncü, Yunus Nadi Yüksek, Emine Özer Küçük, Esra Meltem Koç, Nurullah Zengin
      Pages 95-105
    11. Janet Martin, Avtar Lal, Jessica Moodie, Fang Zhu, Davy Cheng
      Pages 127-152
    12. Christian A. Bellemare, Jean-François Fisette, Thomas G. Poder, Suzanne K. Bédard, Pierre Dagenais
      Pages 185-200
    13. Marc Rhainds, Geneviève Asselin, Martin Coulombe
      Pages 201-211
    14. Craig A. Umscheid, Matthew D. Mitchell, Brian F. Leas, Julia G. Lavenberg, Kendal Williams, Patrick J. Brennan
      Pages 213-226
    15. Robin Cisneros, Sandra Arthurs, Jo Carol Hiatt
      Pages 227-238
    16. Marisa Santos, Carlos Magliano, Diorela Bruschi Kelles, Silvana Marcia Bruschi Kelles, Airton Stein
      Pages 239-246
    17. Graciela Demirdjian, Rafael Kurtzbart, Ramon Hernandez
      Pages 247-261
    18. Debjani B. Mueller, Moreshnee Govender
      Pages 263-272
    19. Li Wang, Fang Zhu
      Pages 283-293
    20. Anita Fitzgerald, Stephen Streat, Caroline McAleese, Stephen Munn
      Pages 305-312
  4. Networks and Collaboration

    1. Front Matter
      Pages 313-313
    2. Iris Pasternack, Krzysztof Lach
      Pages 315-324
  5. HB-HTA from Stakeholders Point of View

    1. Front Matter
      Pages 325-325
    2. Grégoire Mercier, Camille Dutot, Nicolas Martelli, Anne Josseran, Christophe Roussel
      Pages 333-343
    3. Marie-Pierre Gagnon, Janet Wale, Durhane Wong-Rieger, Russel McGowan
      Pages 345-359
    4. Davy Cheng, Janet Martin
      Pages 361-368
  6. Lessons Learned

    1. Front Matter
      Pages 369-369
    2. Americo Cicchetti, Marco Marchetti, Janet Martin, Laura Sampietro-Colom
      Pages 371-383
  7. Looking to the Future

    1. Front Matter
      Pages 385-385
    2. Janet Martin, Laura Sampietro-Colom
      Pages 387-397

About this book


A timely work describing how localized hospital-based health technology assessment (HB-HTA) complements general, ‘arms-length’ HTA agency efforts, and what has been the collective global impact of HB-HTA across the globe. While HB-HTA has gained significant momentum over the past few years, expertise in the field, and information on the operation and organization of HB-HTA, has been scattered. This book serves to bring this information together to inform those who are currently working in the field of HTA at the hospital, regional, national or global level. In addition, this book is intended for decision-makers and policy-makers with a stake in determining the uptake and decommissioning of new and established technologies in the hospital setting.

HTA has traditionally been performed at the National/Regional level by HTA Agencies, typically linked to governments. Yet hospitals are the main entry door for most health technologies (HTs). Hospital decision-makers must undertake multiple high stakes investment and disinvestment decisions annually for innovative HTs, usually without adequate information. Despite the existence of arms-length HTA Agencies, inadequate information is available to hospital decision-makers either because relevant HTA reports are not yet released at the time of entry of new technologies to the field, or because even when the report exists, the information contained is insufficient to clarify the contextualized informational needs of hospital decision makers. Therefore, there has recently been a rising trend toward hospital-based HTA units and programs. These units/programs complement the work of National/Regional HTA Agencies by providing the key and relevant evidence needed by hospital decision makers in their specific hospital context, and within required decision-making timelines. The emergence of HB-HTA is creating a comprehensive HTA ecosystem across health care levels, which creates better bridges for knowledge translation through relevance and timeliness.


Affordability Budget Contextualization Disinvestment Evidence Synthesis, Health Economics Evidence-Based Decision-Making Health Technologies Impact Innovation Investment Knowledge Translation Multi-Criteria Decision Analysis Policy-Making Priority-Setting Program Evaluation

Editors and affiliations

  • Laura Sampietro-Colom
    • 1
  • Janet Martin
    • 2
  1. 1.Assessment of Innovations and New TechnologiesHospital Clinic BarcelonaBarcelona, CataloniaSpain
  2. 2.Centre for Medical Evidence, Decision Integrity & Clinical Impact (MEDICI), Department of Anesthesia & Perioperative MedicineSchulich School of Medicine & Dentistry, Western UniversityLondonCanada

Bibliographic information

  • DOI
  • Copyright Information Springer International Publishing Switzerland 2016
  • Publisher Name Adis, Cham
  • eBook Packages Medicine
  • Print ISBN 978-3-319-39203-5
  • Online ISBN 978-3-319-39205-9
  • Buy this book on publisher's site
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