Adopting European Network for Health Technology Assessments (EunetHTA) core model for diagnostic technologies for improving the accuracy and appropriateness of blood gas analyzers' assessment

被引：4

作者：

Franchin, Tiziana ^{[1
]}

Faggiano, Francesco ^{[1
]}

Plebani, Mario ^{[2
]}

Muraca, Maurizio ^{[3
]}

De Vivo, Liliana ^{[4
]}

Derrico, Pietro ^{[5
]}

Ritrovato, Matteo ^{[6
]}

机构：

[1] IRCCS, Bambino Gesu Childrens Hosp, Clin Technol Innovat Res Area, I-00154 Rome, Italy

[2] Univ Padua, Dept Lab Med, Padua, Italy

[3] IRCCS, Bambino Gesu Childrens Hosp, Dept Lab Med, I-00154 Rome, Italy

[4] IRCCS, Bambino Gesu Childrens Hosp, Clin Engn Dept, I-00154 Rome, Italy

[5] IRCCS, Bambino Gesu Childrens Hosp, Clin Technol Innovat Res Area, Clin Engn Dept, I-00154 Rome, Italy

[6] IRCCS, Bambino Gesu Childrens Hosp, Clin Technol Innovat Res Area, Enterprise Risk Management Dept, I-00154 Rome, Italy

来源：

CLINICAL CHEMISTRY AND LABORATORY MEDICINE | 2014年 / 52卷 / 11期

关键词：

appropriateness; assessment; blood gas analyzers; efficacy; health technology; point-of-care testing; POINT-OF-CARE; DELPHI; MANAGEMENT; EFFICACY; ERROR; RISK;

D O I：

10.1515/cclm-2014-0087

中图分类号：

R446 [实验室诊断]; R-33 [实验医学、医学实验];

学科分类号：

1001 ;

摘要：

Background: Point-of-care testing (POCT) is a successful methodology for meeting clinical expectations of rapid and accurate results. Scientific literature has moreover highlighted and confirmed the necessity of individuating the best technological solution, in accordance with clinical requirements and contextualized to the whole health organization, where it will be implemented. Health Technology Assessment (HTA) can assist in reaching an appropriate and contextualized decision on a health technology. The aim of this study is to adapt a HTA core model for improving the evaluation of a POCT technology: blood gas analyzers. Methods: The European Network for Health Technology Assessment (EUnetHTA) core model for diagnostic technologies was applied for evaluating globally marketed blood gas analyzers. Evaluation elements were defined according to available literature and validated using the Delphi method. Results: A HTA model of 71 issues, subdivided into 26 topics and 10 domains, was obtained by interviewing 11 healthcare experts over two rounds of Delphi questionnaires. Ten context parameters were identified in order to define the initial scenario from which the technology assessment was to begin. Conclusions: The model presented offers a systematic and objective structure for the evaluation of blood gas analyzers, which may play a guidance role for healthcare operators approaching the evaluation of such technologies thus improving, in a contextualized fashion, the appropriateness of purchasing.

引用

页码：1569 / 1577

页数：9

共 26 条

[11] A critical review of the Delphi technique as a research methodology for nursing [J].

Keeney, S ;

Hasson, F ;

McKenna, HP .

INTERNATIONAL JOURNAL OF NURSING STUDIES, 2001, 38 (02) :195-200

[12] The HTA Core Model: A novel method for producing and reporting health technology assessments [J].

Lampe, Kristian ;

Makela, Marjukka ;

Garrido, Marcial Velasco ;

Anttila, Heidi ;

Autti-Ramo, Ilona ;

Hicks, Nicholas J. ;

Hofmann, Bjorn ;

Koivisto, Juha ;

Kunz, Regina ;

Karki, Pia ;

Malmivaara, Antti ;

Meiesaar, Kersti ;

Reiman-Mottonen, Paivi ;

Norderhaug, Inger ;

Pasternack, Iris ;

Ruano-Ravina, Alberto ;

Rasanen, Pirjo ;

Saalasti-Koskinen, Ulla ;

Saarni, Samuli I. ;

Walin, Laura ;

Kristensen, Finn Borlum .

INTERNATIONAL JOURNAL OF TECHNOLOGY ASSESSMENT IN HEALTH CARE, 2009, 25 :9-20

[13] A point-of-care chemistry test for reduction of turnaround and clinical decision time [J].

Lee, Eui Jung ;

Shin, Sang Do ;

Song, Kyoung Jun ;

Kim, Seong Chun ;

Cho, Jin Seong ;

Lee, Seung Chul ;

Park, Ju Ok ;

Cha, Won Chul .

AMERICAN JOURNAL OF EMERGENCY MEDICINE, 2011, 29 (05) :489-495

[14] Point of care testing in a large urban academic medical center: Evolving test menu and clinical applications [J].

Lee-Lewandrowski, Elizabeth ;

Gregory, Kimberly ;

Lewandrowski, Kent .

CLINICA CHIMICA ACTA, 2010, 411 (21-22) :1799-1805

[15] Redefining health technology assessment in Canada: Diversification of products and contextualization of findings [J].

Lehoux, P ;

Tailliez, S ;

Denis, JL ;

Hivon, M .

INTERNATIONAL JOURNAL OF TECHNOLOGY ASSESSMENT IN HEALTH CARE, 2004, 20 (03) :325-336

[16]

Lewandrowski Kent, 2003, Clin Leadersh Manag Rev, V17, P318

[17]

Likert R, 1932, ARCH PSYCHOL, DOI [DOI 10.1111/J.1540-5834.2010.00585.X, DOI 10.4135/9781412961288.N454]

[18] Quality Error Rates in Point-of-Care Testing [J].

O'Kane, Maurice J. ;

McManus, Paul ;

McGowan, Noel ;

Lynch, P. L. Mark .

CLINICAL CHEMISTRY, 2011, 57 (09) :1267-1271

[19] The Delphi method as a research tool: an example, design considerations and applications [J].

Okoli, C ;

Pawlowski, SD .

INFORMATION & MANAGEMENT, 2004, 42 (01) :15-29

[20] Does POCT reduce the risk of error in laboratory testing? [J].

Plebani, Mario .

CLINICA CHIMICA ACTA, 2009, 404 (01) :59-64

← 1 2 3 →