CHU de Québec–Université Laval: 10-Years’ Experience in Hospital-Based HTA (Canada)

Abstract

The mandate of our HB-HTA Unit, created in 2006, is to support and advise managers, physicians, and professionals in evidence-based decision-making on the best allocation of resources for the introduction or reappraisal of health technologies or clinical practices. The HB-HTA activities fall under the umbrella of two governance committees. The Steering Committee mainly prioritizes annually the HTA requests. The Advisory Scientific Committee reviews and approves the HTA methods, reports, and recommendations, and contributes to knowledge transfer. Key stakeholders are involved throughout the process from the development of the projects to the dissemination of HTA reports. Between 2007 and 2014, the annual number of reports produced increased from five to 12 for a total of 54 reports. A 10 years of experience suggest a significant contribution of HB-HTA to an organizational evaluation culture, quality of care, and costs. As part of an evidence-based process, the disinvestment of health technologies or practices that provide little or no health benefits to allow a better allocation of resources is a major challenge in the future for our HB-HTA Unit.