technology assessment phd doutoral conference · hta 101 - introduction to health technology...

TECHNOLOGY ASSESSMENT PHD

DOUTORAL CONFERENCE

TECHNOLOGY GOVERNANCE IN RADIOLOGY

Maria João Maia

Supervisor: Prof. Dr. António Brandão Moniz

Co-Supervisor: Prof. Dr. Michael Decker

THE EXAMPLE OF MAGNETIC RESONANCE IMAGING

Contents

Technology Governance in Radiology

Doctoral Conference – PhD Technology Assessment

Maria João Maia

09.06.2011

1. Introduction - Overview

2. Portuguese Health System

3. MRI in Portugal

4. Chain Value

5. Goals / Research Questions

2

6. Methodology

7. Final Remarks

1. Introduction – Definitions …

Maria João Maia

09.06.2011

3

“… as the practical application of knowledge, as the application of scientific or other organized knowledge - including any tool, technique, product, process, method, organization or system--to practical tasks.”

Technology

Goodman, C. S. (2004). HTA 101 - Introduction to health technology assessment. Journal of the American College of Radiology : JACR (Vol. 6, p. 155). The Lewin Group.



1. Introduction – Definitions …

Maria João Maia

09.06.2011

4

Health Tecnology

equipments andaccessories

medical and surgicalprocedures

technicalprocedures

Contrast mediaMedicines



1. Introduction – Evidences …

Maria João Maia

09.06.2011

5

Few resources

High costs

Need for good

management

Patientexpectations




Maria João Maia

09.06.2011

6

Access to health services through:

National Health System – SNS -

Insurance Company, “Misericórdias” or sub-system health client

Private health care services client




Maria João Maia

09.06.2011

7

Health Ministry

Regional Health Administrations

– ARS -

Health Sub-Regions

SNSInsurances

Sub-Systems

- ADSE - UCS- ADM - SSCGD- SAD - SAMS- PT-ACS - SA-VIDA



Private Services

3. MRI in Portugal

Maria João Maia

09.06.2011

8

Toshiba Public = 0Private = 6

GE Public = --Private = --

*

Siemens Public = 11Private = 22

*

Phillips Public = 9Private = 27

*

* Non official dataTechnology Governance in Radiology


Maria João Maia

09.06.2011

9

Private sector

Public sector

PhilipsSiemensToshiba



Maria João Maia

09.06.2011

10

Private sector

Public sector



4. Chain Value

Maria João Maia

09.06.2011

11

Suppliers

Community

MRI equipment producer -

Pharmaceutical

Employees

Dealers Representatives



Government Patients

COMPETENCES

Maria João Maia

09.06.2011

12

Work

Do tasksIntervene

Knowledge

TheoreticalKnowledge

How to do

Tecnical andProfessional Competences

How to be

Social andRelational

CompetencesHow to learn

CognitiveCapacity

4. Chain Value



5. Goals

Maria João Maia

09.06.2011

13

Contribute to a deeper understanding in how TA is made in healthcare area, specifically in Radiology, using as an example the MRI equipment and all decision-making that surrounds it.

General Goal

5. Goals

Maria João Maia

09.06.2011

14

1

Establish a national skills mapping on TA and decision-making in Radiology, particularly in MRI area, by verifying the similarities and differences in stakeholders perceptions.

2

Identify indicators present in decision-making, and provide for their prioritization.



5. Research Questions and Hypotheses

Maria João Maia

09.06.2011

15

P1: In TA, which stakeholders are involved

and which are their points of views? (H1)



P2: What skills should the stakeholder have in the process of decision- making, during the TA? (H4)


Maria João Maia

09.06.2011

16

P3: What procedures should be taken into account in decision-making process? (H2)



P4: What indicators are present in decision making process? What is their priority? (H2)


Maria João Maia

09.06.2011

17

P5: Which are the factors that can influence the decision-making process from the point of view of each decision-maker / stakeholder? (H2)



P6: Are there any competitive advantages for TA in equipment acquisition? (H3)

Maria João Maia

09.06.2011

18

6. Methodology

COMPETENCES

Work

Do tasksIntervene

Knowledge

TheoreticalKnowledge

How to do

Tecnical andProfessional Competences

How to be

Social andRelational

CompetencesHow to learn

CognitiveCapacity



6. Methodology

Maria João Maia

09.06.2011

19

20 – Radiographer5 – Radiologist (Physicians)6 – Tecnical Assistant (Office)8 – Operational Assistant

Total = 39 questionnaires



6. Methodology – Pre Test


Doutoral Conference – PDH Technology Assessment

Maria João Maia

09.06.2011

20

Q1. Medical Sciences

Q2. Physical Sciences

Q3. Radiobiology and Radiatio

n Protection

Q4. Electronics

and Clinic Instrumentation

Q5. Management and

Administration

Q6. Communication and

Behavioral Sciences

Q7. Information Systems

Maria João Maia

09.06.2011

21

6. Methodology - pre test results

1

2

3

4

5Q1

Q2

Q3

Q4Q5

Q6

Q7

Radiographer



Maria João Maia

09.06.2011

22

1

2

3

4

5Q1

Q2

Q3

Q4Q5

Q6

Q7

Radiologist (Physician)




Maria João Maia

09.06.2011

23

1

2

3

4

5Q1

Q2

Q3

Q4Q5

Q6

Q7

Technical Assistant (Office)




Maria João Maia

09.06.2011

24

1

2

3

4

5Q1

Q2

Q3

Q4Q5

Q6

Q7

Operational Assistant




Maria João Maia

09.06.2011

25

RadiographerRadiologist (Physician)Tecnical Assistant (Office)Operational Assistant


1

2

3

4

5Q1

Q2

Q3

Q4Q5

Q6

Q7

1

2

3

4

5Q1

Q2

Q3

Q4Q5

Q6

Q7

Average



Maria João Maia

09.06.2011

26


Above Average Bellow Average

Q1. Medical Sciences

Q2. Physical Sciences

Q3. Radiobiology and Radia

tion Protection

Q4. Electronics

and Clinic Instrumentation

Q5. Management and

Administration

Q6. Communication and

Behavioral Sciences

Q7. Computers

RadiographerRadiologist Operational A.

Radiologist

Radiologist

Radiologist

Radiologist

Technical A.

Operational A.

Operational A.

Operational A.

Operational A.

Operational A.Radiographer

Radiographer

Radiographer

Radiographer

Technical A.

Technical A.

Technical A.

Technical A.

Technical A.

Technical A.



7. Final Remarks

[email protected]

28

mailto:[email protected]

technology assessment phd doutoral conference · hta 101 - introduction to health technology...

Documents