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Relevance of barriers and facilitators in the use of health technology assessment in Colombia

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dc.creatorDams F.spa
dc.creatorGonzález Rodríguez, Javier Leonardospa
dc.creatorCheung K.L.spa
dc.creatorWijnen B.F.M.spa
dc.creatorHiligsmann M.spa
dc.date.accessioned2020-05-25T23:56:19Z
dc.date.available2020-05-25T23:56:19Z
dc.date.created2018spa
dc.description.abstractObjectives: Several studies, mostly from developed countries, have identified barriers and facilitators with regard to the uptake of health technology assessment (HTA). This study elicited, using best-worst scaling (BWS), what HTA experts in Colombia consider to be the most important barriers and facilitators in the use of HTA, and makes a comparison to results from the Netherlands. Methods: Two object case surveys (one for barriers, one for facilitators) were conducted among 18 experts (policymakers, health professionals, PhD students, senior HTA-researchers) from Colombia. Seven respondents were employees of the national HTA agency Instituto de Evaluación Tecnológica de Salud (IETS). In total, 22 barriers and 19 facilitators were included. In each choice task, participants were asked to choose the most and least important barrier/facilitator from a set of five. Hierarchical Bayes modeling was used to compute the mean relative importance scores (RIS) for each factor, and a subgroup analysis was conducted to assess differences between IETS and non-IETS respondents. The final ranking was further compared to the results from a similar study conducted in the Netherlands. Results: The three most important barriers (RIS >6.00) were “Inadequate presentation format”, “Absence of policy networks”, and “Insufficient legal support”. The six most important facilitators (RIS >6.00) were “Appropriate timing”, “Clear presentation format”, “Improving longstanding relation”, “Appropriate incentives”, “Sufficient qualified human resources”, and “Availability to relevant HTA research”. The perceived relevance of the barriers and facilitators differed slightly between IETS and non-IETS employees, while the differences between the rankings in Colombia and the Netherlands were substantial. Conclusion: The study suggests that barriers and facilitators related to technical aspects of processing HTA reports and to the contact and interaction between researchers and policymakers had the greatest importance in Colombia. © 2018 Informa UK Limited, trading as Taylor and Francis Group.eng
dc.format.mimetypeapplication/pdf
dc.identifier.doihttps://doi.org/10.1080/13696998.2018.1449751
dc.identifier.issn13696998
dc.identifier.urihttps://repository.urosario.edu.co/handle/10336/22394
dc.language.isoengspa
dc.publisherTaylor and Francis Ltdspa
dc.relation.citationEndPage517
dc.relation.citationIssueNo. 5
dc.relation.citationStartPage510
dc.relation.citationTitleJournal of Medical Economics
dc.relation.citationVolumeVol. 21
dc.relation.ispartofJournal of Medical Economics, ISSN:13696998, Vol.21, No.5 (2018); pp. 510-517spa
dc.relation.urihttps://www.scopus.com/inward/record.uri?eid=2-s2.0-85044343040&doi=10.1080%2f13696998.2018.1449751&partnerID=40&md5=8696ecc456da1d5cf3e6cfa056c47799spa
dc.rights.accesRightsinfo:eu-repo/semantics/openAccess
dc.rights.accesoAbierto (Texto Completo)spa
dc.source.instnameinstname:Universidad del Rosariospa
dc.source.reponamereponame:Repositorio Institucional EdocURspa
dc.subject.keywordAdultspa
dc.subject.keywordArticlespa
dc.subject.keywordbiomedicaleng
dc.subject.keywordBiomedical technology assessmentspa
dc.subject.keywordClinical articlespa
dc.subject.keywordColombiaspa
dc.subject.keywordEmployeespa
dc.subject.keywordFemalespa
dc.subject.keywordHumanspa
dc.subject.keywordHuman experimentspa
dc.subject.keywordMalespa
dc.subject.keywordNetherlandsspa
dc.subject.keywordPhd studentspa
dc.subject.keywordPublic healthspa
dc.subject.keywordScientistspa
dc.subject.keywordBiomedical technology assessmentspa
dc.subject.keywordColombiaspa
dc.subject.keywordDecision makingspa
dc.subject.keywordDecision support systemspa
dc.subject.keywordHealth care policyspa
dc.subject.keywordMiddle agedspa
dc.subject.keywordProceduresspa
dc.subject.keywordAdultspa
dc.subject.keywordColombiaspa
dc.subject.keywordDecision makingspa
dc.subject.keywordDecision support techniquesspa
dc.subject.keywordFemalespa
dc.subject.keywordHealth policyspa
dc.subject.keywordHumansspa
dc.subject.keywordMalespa
dc.subject.keywordMiddle agedspa
dc.subject.keywordNetherlandsspa
dc.subject.keywordTechnology assessmenteng
dc.subject.keywordBarriersspa
dc.subject.keywordBest–worst scalingspa
dc.subject.keywordColombiaspa
dc.subject.keywordFacilitatorsspa
dc.subject.keywordHealth technology assessmentspa
dc.subject.keywordPreferencesspa
dc.titleRelevance of barriers and facilitators in the use of health technology assessment in Colombiaspa
dc.typearticleeng
dc.type.hasVersioninfo:eu-repo/semantics/publishedVersion
dc.type.spaArtículospa
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