Introduction of new technologies and decision making processes: a framework to adapt a Local Health Technology Decision Support Program for other local settings

Paule Poulin,1 Lea Austen,1 Catherine M Scott,2 Michelle Poulin,1 Nadine Gall,2 Judy Seidel,3 René Lafrenière1 1Department of Surgery, 2Knowledge Management, 3Public Health Innovation and Decision Support, Alberta Health Services, Calgary, AB, Canada Purpose: Introducing new he...

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Autores principales:	Poulin P, Austen L, Scott CM, Poulin M, Gall N, Seidel J, Lafreni&egrave;re R
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2013
Materias:	Medical technology R855-855.5
Acceso en línea:	https://doaj.org/article/2e63aa5afd3548459e349bde74a5760f
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spelling	oai:doaj.org-article:2e63aa5afd3548459e349bde74a5760f2021-12-02T02:19:25ZIntroduction of new technologies and decision making processes: a framework to adapt a Local Health Technology Decision Support Program for other local settings1179-1470https://doaj.org/article/2e63aa5afd3548459e349bde74a5760f2013-11-01T00:00:00Zhttp://www.dovepress.com/introduction-of-new-technologies-and-decision-making-processes-a-frame-a15009https://doaj.org/toc/1179-1470Paule Poulin,1 Lea Austen,1 Catherine M Scott,2 Michelle Poulin,1 Nadine Gall,2 Judy Seidel,3 René Lafrenière1 1Department of Surgery, 2Knowledge Management, 3Public Health Innovation and Decision Support, Alberta Health Services, Calgary, AB, Canada Purpose: Introducing new health technologies, including medical devices, into a local setting in a safe, effective, and transparent manner is a complex process, involving many disciplines and players within an organization. Decision making should be systematic, consistent, and transparent. It should involve translating and integrating scientific evidence, such as health technology assessment (HTA) reports, with context-sensitive evidence to develop recommendations on whether and under what conditions a new technology will be introduced. However, the development of a program to support such decision making can require considerable time and resources. An alternative is to adapt a preexisting program to the new setting. Materials and methods: We describe a framework for adapting the Local HTA Decision Support Program, originally developed by the Department of Surgery and Surgical Services (Calgary, AB, Canada), for use by other departments. The framework consists of six steps: 1) development of a program review and adaptation manual, 2) education and readiness assessment of interested departments, 3) evaluation of the program by individual departments, 4) joint evaluation via retreats, 5) synthesis of feedback and program revision, and 6) evaluation of the adaptation process. Results: Nine departments revised the Local HTA Decision Support Program and expressed strong satisfaction with the adaptation process. Key elements for success were identified. Conclusion: Adaptation of a preexisting program may reduce duplication of effort, save resources, raise the health care providers' awareness of HTA, and foster constructive stakeholder engagement, which enhances the legitimacy of evidence-informed recommendations for introducing new health technologies. We encourage others to use this framework for program adaptation and to report their experiences. Keywords: health technology assessment, evidence-based medicine, program development, program adaptationPoulin PAusten LScott CMPoulin MGall NSeidel JLafreni&egrave;re RDove Medical PressarticleMedical technologyR855-855.5ENMedical Devices: Evidence and Research, Vol 2013, Iss default, Pp 185-193 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medical technology R855-855.5
spellingShingle	Medical technology R855-855.5 Poulin P Austen L Scott CM Poulin M Gall N Seidel J Lafreni&egrave;re R Introduction of new technologies and decision making processes: a framework to adapt a Local Health Technology Decision Support Program for other local settings
description	Paule Poulin,1 Lea Austen,1 Catherine M Scott,2 Michelle Poulin,1 Nadine Gall,2 Judy Seidel,3 René Lafrenière1 1Department of Surgery, 2Knowledge Management, 3Public Health Innovation and Decision Support, Alberta Health Services, Calgary, AB, Canada Purpose: Introducing new health technologies, including medical devices, into a local setting in a safe, effective, and transparent manner is a complex process, involving many disciplines and players within an organization. Decision making should be systematic, consistent, and transparent. It should involve translating and integrating scientific evidence, such as health technology assessment (HTA) reports, with context-sensitive evidence to develop recommendations on whether and under what conditions a new technology will be introduced. However, the development of a program to support such decision making can require considerable time and resources. An alternative is to adapt a preexisting program to the new setting. Materials and methods: We describe a framework for adapting the Local HTA Decision Support Program, originally developed by the Department of Surgery and Surgical Services (Calgary, AB, Canada), for use by other departments. The framework consists of six steps: 1) development of a program review and adaptation manual, 2) education and readiness assessment of interested departments, 3) evaluation of the program by individual departments, 4) joint evaluation via retreats, 5) synthesis of feedback and program revision, and 6) evaluation of the adaptation process. Results: Nine departments revised the Local HTA Decision Support Program and expressed strong satisfaction with the adaptation process. Key elements for success were identified. Conclusion: Adaptation of a preexisting program may reduce duplication of effort, save resources, raise the health care providers' awareness of HTA, and foster constructive stakeholder engagement, which enhances the legitimacy of evidence-informed recommendations for introducing new health technologies. We encourage others to use this framework for program adaptation and to report their experiences. Keywords: health technology assessment, evidence-based medicine, program development, program adaptation
format	article
author	Poulin P Austen L Scott CM Poulin M Gall N Seidel J Lafreni&egrave;re R
author_facet	Poulin P Austen L Scott CM Poulin M Gall N Seidel J Lafreni&egrave;re R
author_sort	Poulin P
title	Introduction of new technologies and decision making processes: a framework to adapt a Local Health Technology Decision Support Program for other local settings
title_short	Introduction of new technologies and decision making processes: a framework to adapt a Local Health Technology Decision Support Program for other local settings
title_full	Introduction of new technologies and decision making processes: a framework to adapt a Local Health Technology Decision Support Program for other local settings
title_fullStr	Introduction of new technologies and decision making processes: a framework to adapt a Local Health Technology Decision Support Program for other local settings
title_full_unstemmed	Introduction of new technologies and decision making processes: a framework to adapt a Local Health Technology Decision Support Program for other local settings
title_sort	introduction of new technologies and decision making processes: a framework to adapt a local health technology decision support program for other local settings
publisher	Dove Medical Press
publishDate	2013
url	https://doaj.org/article/2e63aa5afd3548459e349bde74a5760f
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Introduction of new technologies and decision making processes: a framework to adapt a Local Health Technology Decision Support Program for other local settings

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