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Higher Sustainability and Lower Opportunistic Behaviour in Healthcare: A New Framework for Performing Hospital-Based Health Technology Assessment

Author

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  • Gabriele Palozzi

    (Department of Management and Law, University of Rome Tor Vergata, 00133 Rome, Italy)

  • Sandro Brunelli

    (Department of Management and Law, University of Rome Tor Vergata, 00133 Rome, Italy)

  • Camilla Falivena

    (Department of Management and Law, University of Rome Tor Vergata, 00133 Rome, Italy)

Abstract

Innovative health technology deployment represents the primary challenge within the sustainability of public health systems. On one hand, new technologies may potentially improve access to care and the quality of services. On the other hand, their rapid evolution and broad implications on existing procedures increase the risk to adopt technologies that are not value for money. As a consequence, Health Technology Assessment (HTA) is a critical process at each level of the National Health System. Focusing on the organisational level, this paper explores the current practices of Hospital-Based HTA (HB-HTA) in terms of management, control and behaviours of various actors involved. Among several tasks, decision-makers are appointed at managing the conflict of interest around health technology development, that could pave the way for corruption or other misleading behaviours. Accordingly, the purpose of the study is proposing a new strategic framework, named Health Technology Balanced Assessment (HTBA), to foster hospital-based health technology management aimed to align strategy and actions. The conceptual model is developed on three perspectives (clinical, economic and organisational) to make the actors involved in the assessment (clinicians, health professionals, hospital managers and patients) aware of the impact of new technology on the value chain. Besides supporting the decision-making process, such a tool represents support for the internal control system as a whole. By promoting structured evaluation, it increases transparency and accountability of public health organisations. Moreover, in the long run, the framework proposed will be useful to reach selected United Nations Sustainable Development Goals (UN SDGs) to enhance the quality of healthcare in the future.

Suggested Citation

  • Gabriele Palozzi & Sandro Brunelli & Camilla Falivena, 2018. "Higher Sustainability and Lower Opportunistic Behaviour in Healthcare: A New Framework for Performing Hospital-Based Health Technology Assessment," Sustainability, MDPI, vol. 10(10), pages 1-19, October.
    • Handle: RePEc:gam:jsusta:v:10:y:2018:i:10:p:3550-:d:173538
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    References listed on IDEAS

    as
    1. Enrico Bracci & Christopher Humphrey & Jodie Moll & Ileana Steccolini, 2015. "Public sector accounting, accountability and austerity: more than balancing the books?," Accounting, Auditing & Accountability Journal, Emerald Group Publishing Limited, vol. 28(6), pages 878-908, August.
    2. Fama, Eugene F & Jensen, Michael C, 1983. "Separation of Ownership and Control," Journal of Law and Economics, University of Chicago Press, vol. 26(2), pages 301-325, June.
    3. Carolyn J. Fowler & Carolyn J. Cordery, 2015. "From community to public ownership: a tale of changing accountabilities," Accounting, Auditing & Accountability Journal, Emerald Group Publishing Limited, vol. 28(1), pages 128-153, January.
    4. Elias Moreno & Francisco Javier Giron & Francisco Jose Vazquez-Polo & Miguel Negrin, 2009. "A Bayesian Net Benefit Approach to Cost-effectiveness Analysis in Health Technology Assessment," International Journal of the Economics of Business, Taylor & Francis Journals, vol. 16(3), pages 323-345.
    5. Cappellaro, Giulia & Fattore, Giovanni & Torbica, Aleksandra, 2009. "Funding health technologies in decentralized systems: A comparison between Italy and Spain," Health Policy, Elsevier, vol. 92(2-3), pages 313-321, October.
    6. Quan-Hoang Vuong & Tung-Manh Ho & Hong-Kong Nguyen & Thu-Trang Vuong, 2018. "Healthcare consumers’ sensitivity to costs: a reflection on behavioural economics from an emerging market," Palgrave Communications, Palgrave Macmillan, vol. 4(1), pages 1-10, December.
    7. Kidholm, Kristian & Ølholm, Anne Mette & Birk-Olsen, Mette & Cicchetti, Americo & Fure, Brynjar & Halmesmäki, Esa & Kahveci, Rabia & Kiivet, Raul-Allan & Wasserfallen, Jean-Blaise & Wild, Claudia & Sa, 2015. "Hospital managers’ need for information in decision-making – An interview study in nine European countries," Health Policy, Elsevier, vol. 119(11), pages 1424-1432.
    8. Pranab Bardhan, 1997. "Corruption and Development: A Review of Issues," Journal of Economic Literature, American Economic Association, vol. 35(3), pages 1320-1346, September.
    9. Banta, David, 2003. "The development of health technology assessment," Health Policy, Elsevier, vol. 63(2), pages 121-132, February.
    10. Douw, Karla & Vondeling, Hindrik & Oortwijn, Wija, 2006. "Priority setting for horizon scanning of new health technologies in Denmark: Views of health care stakeholders and health economists," Health Policy, Elsevier, vol. 76(3), pages 334-345, May.
    11. JosÉ Figueira & Salvatore Greco & Matthias Ehrogott, 2005. "Multiple Criteria Decision Analysis: State of the Art Surveys," International Series in Operations Research and Management Science, Springer, number 978-0-387-23081-8, April.
    12. Quan-Hoang Vuong, 2018. "The (ir)rational consideration of the cost of science in transition economies," Nature Human Behaviour, Nature, vol. 2(1), pages 5-5, January.
    13. Sorenson, Corinna & Kanavos, Panos, 2011. "Medical technology procurement in Europe: A cross-country comparison of current practice and policy," Health Policy, Elsevier, vol. 100(1), pages 43-50, April.
    14. Bebbington, Jan & Brown, Judy & Frame, Bob, 2007. "Accounting technologies and sustainability assessment models," Ecological Economics, Elsevier, vol. 61(2-3), pages 224-236, March.
    15. Hartz, Susanne & John, Jürgen, 2009. "Public health policy decisions on medical innovations: What role can early economic evaluation play?," Health Policy, Elsevier, vol. 89(2), pages 184-192, February.
    16. Neu, Dean & Everett, Jeff & Rahaman, Abu Shiraz & Martinez, Daniel, 2013. "Accounting and networks of corruption," Accounting, Organizations and Society, Elsevier, vol. 38(6), pages 505-524.
    17. van Eijk & Steen, 2014. "Why People Co-Produce: Analysing citizens' perceptions on co-planning engagement in health care services," Public Management Review, Taylor & Francis Journals, vol. 16(3), pages 358-382, April.
    18. Adrian Levy & Craig Mitton & Karissa Johnston & Brian Harrigan & Andrew Briggs, 2010. "International Comparison of Comparative Effectiveness Research in Five Jurisdictions," PharmacoEconomics, Springer, vol. 28(10), pages 813-830, October.
    19. Amanda Ball & Jan Bebbington, 2008. "Editorial: Accounting and Reporting for Sustainable Development in Public Service Organizations," Public Money & Management, Taylor & Francis Journals, vol. 28(6), pages 323-326, December.
    20. Susan Newberry, 2015. "Public sector accounting: shifting concepts of accountability," Public Money & Management, Taylor & Francis Journals, vol. 35(5), pages 371-376, September.
    21. Pat Barrett, 2014. "New development: Financial reform and good governance," Public Money & Management, Taylor & Francis Journals, vol. 34(1), pages 59-66, January.
    22. Marie-Pierre Gagnon, 2014. "Hospital-Based Health Technology Assessment: Developments to Date," PharmacoEconomics, Springer, vol. 32(9), pages 819-824, September.
    23. Alicia Renedo & Cicely Alice Marston & Dimitrios Spyridonidis & James Barlow, 2015. "Patient and Public Involvement in Healthcare Quality Improvement: How organizations can help patients and professionals to collaborate," Public Management Review, Taylor & Francis Journals, vol. 17(1), pages 17-34, January.
    24. Wendy Hardyman & Kate L. Daunt & Martin Kitchener, 2015. "Value Co-Creation through Patient Engagement in Health Care: A micro-level approach and research agenda," Public Management Review, Taylor & Francis Journals, vol. 17(1), pages 90-107, January.
    25. Whitty, Jennifer A. & Littlejohns, Peter, 2015. "Social values and health priority setting in Australia: An analysis applied to the context of health technology assessment," Health Policy, Elsevier, vol. 119(2), pages 127-136.
    26. Braithwaite, John, 2013. "Flipping markets to virtue with qui tam and restorative justice," Accounting, Organizations and Society, Elsevier, vol. 38(6), pages 458-468.
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