Hospital-based health technology assessment on the use of mitral clips in the treatment of mitral regurgitation

Abstract

BACKGROUND: This study, carried out at the Florence Teaching Hospital Careggi (AOUC), reports the technological evaluation, through the use of Health Technology Assessment (HTA), on the application of mitral clips in the treatment of mitral insufficiency. OBJECTIVE: The assessment, carried out by analyzing the clinical, technological, social, procedural, safety and economic elements, sought to answer the following research questions: Evaluation of the general technological status of the mitral clips in the treatment process of mitral regurgitation, with particular reference to traditional methods; and contextualisation of the analyses within the hospital structure, by identifying criticality issues and improvements. R. Miniati et al. / Hospital-based health technology assessment on the use of mitral clipsCONCLUSION: The HTA evaluation of minimally invasive technologies that use clips for the treatment of mitral regurgitation shows, in the hospital setting, very interesting results, particularly for inoperable patients, where the clinical and social improvements are significant compared to pharmacological treatments, whilst for 'operable' patients, the traditional techniques are still the most appropriate.

Evaluation of the Availability of Hospital-Based Health Technology Assessment in Public and Private Hospitals in Turkey: Ankara Province Sample

“…As it is seen, when both the scope of the services provided by training hospitals and the studies in the literature are evaluated together, "the importance given to the clinical effectiveness domain in training hospitals compared to the hospitals that do not provide training" is supported by the studies in the literature. [24][25][26][27][28][29] According to the findings of the study, administrative and financial services managers and their deputies take into consideration the "cost and economic effectiveness of HB-HTA" domain and the "strategic perspective and political aspects of HB-HTA" domain compared with remaining managers. Because the duties and responsibilities of the hospital administrative and financial services managers are related to basic business functions such as budgeting and accounting, reporting, financial control, procurement, and inventory management, they pay particular attention to the cost and economic effectiveness issues in a procurement process.…”