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

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

Objectives: 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 fa...

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Autores Principales:	Dams F., Gonzalez-Rodriguez, Javier-Leonardo, Cheung K.L., Wijnen B.F.M., Hiligsmann M.
Formato:	Artículo (Article)
Lenguaje:	Inglés (English)
Publicado:	Taylor and Francis Ltd 2018
Materias:	Adult Article Biomedical technology assessment Clinical article Colombia Employee Female Human Human experiment Male Netherlands Phd student Public health Scientist Decision making Decision support system Health care policy Middle aged Procedures Decision support techniques Health policy Humans Barriers Best–worst scaling Facilitators Health technology assessment Preferences biomedical Technology assessment
Acceso en línea:	https://repository.urosario.edu.co/handle/10336/22394 https://doi.org/10.1080/13696998.2018.1449751

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spelling	ir-10336-223942022-05-02T12:37:16Z Relevance of barriers and facilitators in the use of health technology assessment in Colombia Dams F. Gonzalez-Rodriguez, Javier-Leonardo Cheung K.L. Wijnen B.F.M. Hiligsmann M. Adult Article Biomedical technology assessment Clinical article Colombia Employee Female Human Human experiment Male Netherlands Phd student Public health Scientist Biomedical technology assessment Colombia Decision making Decision support system Health care policy Middle aged Procedures Adult Colombia Decision making Decision support techniques Female Health policy Humans Male Middle aged Netherlands Barriers Best–worst scaling Colombia Facilitators Health technology assessment Preferences biomedical Technology assessment Objectives: 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. 2018 2020-05-25T23:56:19Z info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion 13696998 https://repository.urosario.edu.co/handle/10336/22394 https://doi.org/10.1080/13696998.2018.1449751 eng info:eu-repo/semantics/openAccess application/pdf Taylor and Francis Ltd instname:Universidad del Rosario
institution	EdocUR - Universidad del Rosario
collection	DSpace
language	Inglés (English)
topic	Adult Article Biomedical technology assessment Clinical article Colombia Employee Female Human Human experiment Male Netherlands Phd student Public health Scientist Biomedical technology assessment Colombia Decision making Decision support system Health care policy Middle aged Procedures Adult Colombia Decision making Decision support techniques Female Health policy Humans Male Middle aged Netherlands Barriers Best–worst scaling Colombia Facilitators Health technology assessment Preferences biomedical Technology assessment
spellingShingle	Adult Article Biomedical technology assessment Clinical article Colombia Employee Female Human Human experiment Male Netherlands Phd student Public health Scientist Biomedical technology assessment Colombia Decision making Decision support system Health care policy Middle aged Procedures Adult Colombia Decision making Decision support techniques Female Health policy Humans Male Middle aged Netherlands Barriers Best–worst scaling Colombia Facilitators Health technology assessment Preferences biomedical Technology assessment Dams F. Gonzalez-Rodriguez, Javier-Leonardo Cheung K.L. Wijnen B.F.M. Hiligsmann M. Relevance of barriers and facilitators in the use of health technology assessment in Colombia
description	Objectives: 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.
format	Artículo (Article)
author	Dams F. Gonzalez-Rodriguez, Javier-Leonardo Cheung K.L. Wijnen B.F.M. Hiligsmann M.
author_facet	Dams F. Gonzalez-Rodriguez, Javier-Leonardo Cheung K.L. Wijnen B.F.M. Hiligsmann M.
author_sort	Dams F.
title	Relevance of barriers and facilitators in the use of health technology assessment in Colombia
title_short	Relevance of barriers and facilitators in the use of health technology assessment in Colombia
title_full	Relevance of barriers and facilitators in the use of health technology assessment in Colombia
title_fullStr	Relevance of barriers and facilitators in the use of health technology assessment in Colombia
title_full_unstemmed	Relevance of barriers and facilitators in the use of health technology assessment in Colombia
title_sort	relevance of barriers and facilitators in the use of health technology assessment in colombia
publisher	Taylor and Francis Ltd
publishDate	2018
url	https://repository.urosario.edu.co/handle/10336/22394 https://doi.org/10.1080/13696998.2018.1449751
_version_	1740172247802314752
score	12,131701

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

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