Organisational impact: Definition and assessment methods for medical devices

Therapie. 2016 Feb;71(1):69-96. doi: 10.1016/j.therap.2016.01.003. Epub 2016 Feb 3.
[Article in English, French]

Abstract

Health technology assessment (HTA) is a rapidly developing area and the value of taking non-clinical fields into consideration is growing. Although the health-economic aspect is commonly recognised, evaluating organisational impact has not been studied nearly as much. The goal of this work was to provide a definition of organisational impact in the sector of medical devices by defining its contours and exploring the evaluation methods specific to this field. Following an analysis of the literature concerning the impact of technologies on organisations as well as the medical literature, and also after reviewing the regulatory texts in this respect, the group of experts identified 12 types of organisational impact. A number of medical devices were carefully screened using the criteria grid, which proved to be operational and to differentiate properly. From the analysis of the practice and of the methods described, the group was then able to derive a few guidelines to successfully evaluate organisational impact. This work shows that taking organisational impact into consideration may be critical alongside of the other criteria currently in favour (clinically and economically). What remains is to confer a role in the decision-making process on this factor and one that meets the economic efficiency principle.

Keywords: Benchmarking; Biomedical; Efficiency; Equipment and supplies; Organisational innovation; Organizational; Technology assessment.

Publication types

  • Review

MeSH terms

  • Cost-Benefit Analysis
  • Equipment and Supplies / economics
  • Equipment and Supplies / standards*
  • Guidelines as Topic
  • Humans
  • Technology Assessment, Biomedical / economics
  • Technology Assessment, Biomedical / legislation & jurisprudence
  • Technology Assessment, Biomedical / methods*