IMPLEMENTATION OF NEW TECHNOLOGIES IN HOSPITAL: AWARENESS OF THE MEDICAL SPECIALIST
Introduction. To identify the knowledge and opinion on the introduction of healthcare technologies of employees of the healthcare organization a survey was conducted between the doctors, department heads and directors of seven hospitals in Almaty. The questionnaire was used to cover their work experience in the implementation of medical technologies in their workplaces and knowledge in the field of technology assessment (HTA). The survey was followed by a structured two-stage interview with hospital managers and doctors to clarify the answers. Most of the survey participants were not aware of the process of introducing medical technologies in Kazakhstan or the basics of decision-making in the healthcare system. The participants spoke in favor of a clear process of technology implementation in their hospitals and made a useful choice regarding implementation options. The use of HTA to facilitate decision-making on new technologies has been supported, but further training of personnel is required. Difficulties were noticed in the use of HTA in hospitals in the form of a lack of funding and staff working hours. Almaty healthcare facilities face difficulties, such as managing the selection and implementation of new medical technologies. Healthcare professionals are generally aware of the evaluation of healthcare technologies, which would help them make decisions, but its implementation in everyday life requires further development consideration.
Aim: Assessment of awareness of medical specialists in the field of health technology assessment
Materials and methods: For the design of the study was used qualitative research includes mixed methods: survey and interview of stakeholders of the health organizations in Almaty. A total of 315 medical staff took part in the survey and 22 in interviews. The SPSS program was used for descriptive statistics of the received data.
Results: The survey was conducted before and after the COVID-19 pandemic. Before lockdown for several questions there were many nil responses from participants and after COVID-19 respondents were able to answer a lot of questions compared to the previous survey. Responses in the survey covered the interest of hospital staff in HTA, aspects of its application and the process of introducing new technologies to their organizations.
Сonclusions: All managers and most physicians agreed that an implementation process for new technologies was necessary, given current government policies. There were differing views on outsourcing as an option for preparation of HTA reports and subsequent advice to the hospitals. A need for additional training and and accessibility of available information in the field of HTA was supported by the interviews with managers and physicians.
Aiganym M. Askarova1,2,3, https://orcid.org/0000-0002-6896-8697
Lyazzat K. Kosherbayeva1,2, https://orcid.org/0000-0001-8376-4345
Lorena Dini4, https://orcid.org/0000-0002-3776-0658
Aigerim T. Uskenbayeva5, https://orcid.org/0009-0008-0277-7741
Assatulla Zh. Zulpukharov5, https://orcid.org/0000-0002-3254-3363
1 Health policy and management department, Asfendiyarov Kazakh National Medical University,
Almaty, Republic of Kazakhstan;
2 School of public health, Al – Farabi Kazakh National University, Almaty, Republic of Kazakhstan;
3 International Medical School, K. Sagadiyev University of International Business,
Almaty, Republic of Kazakhstan;
4 Charité – Universitäts medizin, Berlin, Germany;
5 Akhmet Yassawi International Kazakh-Turkish University, Turkestan, Republic of Kazakhstan.
1. Avdeyev A., Tabarov A., Akhetov A. et al. Hospital-based Health Technology Assessment in Kazakhstan: 3 years' experience of one unit. International Journal of Technology Assessment in Health Care. 2019. 35(6):436–440. doi: 10.1017/S0266462318003744
2. Bae E.Y. Role of Health Technology Assessment in Drug Policies: Korea. Value Health Reg Issues. 2019 May. 18:24-29. doi: 10.1016/j.vhri.2018.03.009.
3. Cicchetti A., Marchetti M., Martin J., et al. Hospital - based HTA in 31 organizations world wide: what lessons learned? // Hospital-based health technology assessment. New York: Springer, 2017. 371-383.
4. Demerdjian G. A 10-year hospital-based health technology assessment program in a public hospital in Argentina // International Journal of Technology Assessment in Health Care. 2015. 31:103-110. doi: 10.1017/S0266462315000124
5. Figueroa C.A., Harrison R., Chauhan A. et al. Priorities and challenges for health leadership and workforce management globally: a rapid review // BMC Health Serv Res. 2019. 19, 239. doi:10.1186/s12913-019-4080-7
6. Footman K., Richardson E. Organization and governance. Trends in health systems in the former Soviet countries. Copenhagen: European Observatory on Health Systems and Policies. 2014: 29-50. Chapter 3. https://www.ncbi.nlm.nih.gov/books/NBK458301/ Accessed 14 January, 2022.
7. Joint commission on the quality of medical services. Ministry of Healthcare and Social Development of the Republic of Kazakhstan. Order No. 926, 30 November, 2015. http://www.rcrz.kz/docs/okk/2017/Приказ%20ОКК.jpg. Accessed 14 January, 2022
8. Jonsson E. History of health technology assessment in Sweden // International Journal of Technology Assessment in Health Care, 2009. 25(S1), 42-52. doi:10.1017/S0266462309090412
9. Kidholm K., Ølholm A.M., Birk-Olsen M. et al. Hospital managers' need for information in decision- making-An interview study in nine European countries // Health Policy 2015. 119(11):1424-32. doi:10.1016/j.healthpol.2015.08.011
10. Kosherbayeva L., Hailey D., Kurakbaev K. et al. Implementation of health technology assessment work in a hospital in Kazakhstan // International Journal of Technology Assessment in Health Care. 2016. 32(1-2):78–80. doi:10.1017/S0266462316000076
11. Kosherbayeva L., Kalmakhanov S., Hailey D. et al. Rethinking priorities in hospital management: a case from Central Asia // Health Policy and Technology, 2020. 9(3):391-396. doi:10.1016/j.hlpt.2020.06.002
12. Kulzhanov M., Rechel B. Kazakhstan: health system review. Copenhagen: World Health Organization. Regional Office for Europe. 2007. Accessed 14 January, 2022. https://apps.who.int/iris/handle/10665/107868.
13. Kwon H.Y., Kim H.L., Kim J. Application of the Health Technology Assessment in Korean Traditional Medicines // J Altern Complement Med. 2021 Jan. 27(1):58-65. doi:10.1089/acm.2020.0359.
14. Liu G., Wu E.Q., Ahn J., Kamae I., Xie J., Yang H. The Development of Health Technology Assessment in Asia: Current Status and Future Trends. Value Health Reg Issues. 2020 May. 21:39-44. doi:10.1016/j.vhri.2019.08.472.
15. McGregor M. The impact of reports of the Technology Assessment Unit of the McGill University Health Centre. Montreal: McGill University Health Centre. 2012. http://www.mcgill.ca/tau/files/tau/muhc_tau_2012_65_impact_a.pdf. Accessed 14 January, 2022
16. Muratov S, Hailey D, Foerster V, et al. Mentoring the development of a health technology assessment initiative in Kazakhstan // International Journal of Technology Assessment in Health Care. 2014. 30 (2): 1- 6. doi: 10.1017/S0266462314000087
17. Rechel B., Duran A., Saltman R. What is the experience of decentralized hospital governance in Europe? 10 case studies from Western Europe on institutional and accountability arrangements. Policy Brief, No. 28. Copenhagen: European Observatory on Health Systems and Policies. 2018. Accessed 14 January, 2022. https://www.ncbi.nlm.nih.gov/books/NBK525900/.
18. Richardson J., Schlander M. Health technology assessment (HTA) and economic evaluation: efficiency or fairness first // J Mark Access Health Policy. 2018 Dec 20. 7(1):1557981. doi:10.1080/20016689.2018.1557981. PMID: 30651941, PMCID: PMC6327925
19. Sampietro-Colom L., Lach K., Cicchetti A. et al. The AdHopHTA handbook: a handbook of hospital- based Health Technology Assessment (HB-HTA). Barcelona: Public deliverable. The AdHopHTA Project (FP7/2007-13 grant agreement nr 305018). 2015. Accessed: 14 January, 2022. http://www.adhophta.eu/handbook.
20. State Healthcare Development Program, "Densaulyk" for 2016 – 2019. Government of the Republic of Kazakhstan. Approved Government Decree No. 634. Astana: October 15, 2018. Accessed 14 January, 2022. http://adilet.zan.kz/rus/docs/P1800000634.
21. World Bank Project. The Kazakhstan health sector technology transfer and institutional reform project. January 2008. Accessed 14 January. 2020. http://www.worldbank.org/projects/P101928/health-sector-technologytransfer-institutional-reform?
22. Yoon J., Lee M., Ahn J.S., Oh D., Shin S.Y., Chang Y.J., Cho J. Development and Validation of Digital Health Technology Literacy Assessment Questionnaire // J Med Syst. 2022 Jan 24. 46(2):13. doi:10.1007/s10916-022-01800-8. PMID: 35072816. PMCID: PMC8784987.
23. De Simone P., Ghinolfi D. Hospital-Based Health Technology Assessment of Machine Perfusion Systems for Human Liver Transplantation // Transpl Int. 2022 May 27. 35:10405. doi:10.3389/ti.2022.10405. PMID: 35692735, PMCID: PMC9184439.
24. Conrads-Frank A., Schnell-Inderst P., Neusser S., Hallsson L.R. et al. Decision-analytic modeling for early health technology assessment of medical devices - a scoping review // Ger Med Sci. 2022 Dec 21, 20: Doc11. doi:10.3205/000313. PMID: 36742459, PMCID: PMC9869403.
Количество просмотров: 927
Категория статей:
Оригинальные исследования
Библиографическая ссылка
Askarova A.M., Kosherbayeva L.K., Dini L., Uskenbayeva A.T., Zulpukharova A.Zh. Implementation of new technologies in hospital: awareness of the medical specialist // Nauka i Zdravookhranenie [Science & Healthcare]. 2023, (Vol.25) 5, pp. 135-143. doi 10.34689/SH.2023.25.5.018Похожие публикации:
TRENDS IN MORBIDITY AND MORTALITY FROM CHRONIC HEART FAILURE IN ALMATY
СТРУКТУРНО-ФУНКЦИОНАЛЬНЫЕ ИЗМЕНЕНИЯ МИОКАРДА ПОСЛЕ АОРТОКОРОНАРНОГО ШУНТИРОВАНИЯ У ПАЦИЕНТОВ С ИЗБЫТОЧНОЙ МАССОЙ ТЕЛА НА РАЗНЫХ ЭТАПАХ РЕАБИЛИТАЦИИ
МЕДИКО – СОЦИАЛЬНЫЕ, ПСИХОЛОГИЧЕСКИЕ АСПЕКТЫ КАЧЕСТВА ЖИЗНИ БОЛЬНЫХ С ОСТРЫМ ПАНКРЕАТИТОМ
A COMPARATIVE ANALYSIS OF 24-HOUR DIETARY RECALLS AND FOOD FREQUENCY QUESTIONNAIRES ADMINISTERED SIMULTANEOUSLY IN THE KAZAKHSTANI POPULATION
ANALYSIS OF PATIENT SATISFACTION WITH THE QUALITY OF ORGANIZATION OF TREATMENT IN FOREIGN CLINICS