Experiences of Using Cochrane Systematic Reviews by Local HTA Units
This study evaluated the use of Cochrane systematic reviews (CSRs) by Quebec’s local health technology assessment (HTA) units to promote efficiency in hospital decision-making. An online survey was conducted to examine: Characteristics of the HTA units; Knowledge about works and services from the Co...
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| Format: | Article |
| Language: | English |
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Kerman University of Medical Sciences
2022-02-01
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| Series: | International Journal of Health Policy and Management |
| Subjects: | |
| Online Access: | https://www.ijhpm.com/article_3875_628fb16e260c166b03bf52025f3921a5.pdf |
| _version_ | 1811158799704129536 |
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| author | Thomas G. Poder Marc Rhainds Christian A. Bellemare Simon Deblois Imane Hammana Catherine Safianyk Sylvie St-Jacques Pierre Dagenais |
| author_facet | Thomas G. Poder Marc Rhainds Christian A. Bellemare Simon Deblois Imane Hammana Catherine Safianyk Sylvie St-Jacques Pierre Dagenais |
| author_sort | Thomas G. Poder |
| collection | DOAJ |
| description | This study evaluated the use of Cochrane systematic reviews (CSRs) by Quebec’s local health technology assessment (HTA) units to promote efficiency in hospital decision-making. An online survey was conducted to examine: Characteristics of the HTA units; Knowledge about works and services from the Cochrane Collaboration; Level of satisfaction about the use of CSRs; Facilitating factors and barriers to the implementation of CSRs evidence in a local context; Suggestions to improve the use of CSRs. Data accuracy was checked by 2 independent evaluators. Ten HTA units participated. From their implementation a total of 321 HTA reports were published (49.8% included a SR). Works and services provided by the Cochrane collaboration were very well-known and HTA units were highly satisfied with CSRs (80%-100%). As regards to applicability in HTA and use of CSRs, major strengths were as follow: Useful as resource for search terms and background material; May reduce the workload (eg, brief review instead of full SR); Use to update a current review. Major weaknesses were: Limited use since no CSRs were available for many HTA projects; Difficulty to apply findings to local context; Focused only on efficacy and innocuity; Cannot be used as a substitute to a full HTA report. This study provided a unique context of assessment with a familiar group of producers, users and disseminators of CSRs in hospital setting. Since they generally used other articles from the literature or produce an original SR in complement with CSRs, this led to suggestions to improve their use of CSRs. However, the main limit for the use of CRS in local HTA will remain its lack of contextualisation. As such, this study reinforces the need to consider the notion of complementarity of experimental data informing us about causality and contextual data, allowing decision-making adapted to local issues. |
| first_indexed | 2024-04-10T05:30:25Z |
| format | Article |
| id | doaj.art-9ec08f9d3ce649e7998da4598321b4c3 |
| institution | Directory Open Access Journal |
| issn | 2322-5939 |
| language | English |
| last_indexed | 2024-04-10T05:30:25Z |
| publishDate | 2022-02-01 |
| publisher | Kerman University of Medical Sciences |
| record_format | Article |
| series | International Journal of Health Policy and Management |
| spelling | doaj.art-9ec08f9d3ce649e7998da4598321b4c32023-03-07T09:09:55ZengKerman University of Medical SciencesInternational Journal of Health Policy and Management2322-59392022-02-0111211211710.34172/ijhpm.2020.1333875Experiences of Using Cochrane Systematic Reviews by Local HTA UnitsThomas G. Poder0Marc Rhainds1Christian A. Bellemare2Simon Deblois3Imane Hammana4Catherine Safianyk5Sylvie St-Jacques6Pierre Dagenais7Department of Management, Evaluation and Health Policy, School of Public Health, University of Montreal, Montréal, QC, CanadaHTA Unit, CHU de Québec – Université Laval, Québec, QC, CanadaDepartment of Multidisciplinary Services, Clinical Quality Division, CIUSSS de l’Estrie-CHUS, Sherbrooke, QC, CanadaHTA Unit, CHUM, Montréal, QC, CanadaHTA Unit, CHUM, Montréal, QC, CanadaHTA Unit, CIUSSS de la Capitale- Nationale, Québec, QC, CanadaHTA Unit, CIUSSS de la Capitale- Nationale, Québec, QC, CanadaHTA Unit, CIUSSS de l’Estrie – CHUS, Sherbrooke, QC, CanadaThis study evaluated the use of Cochrane systematic reviews (CSRs) by Quebec’s local health technology assessment (HTA) units to promote efficiency in hospital decision-making. An online survey was conducted to examine: Characteristics of the HTA units; Knowledge about works and services from the Cochrane Collaboration; Level of satisfaction about the use of CSRs; Facilitating factors and barriers to the implementation of CSRs evidence in a local context; Suggestions to improve the use of CSRs. Data accuracy was checked by 2 independent evaluators. Ten HTA units participated. From their implementation a total of 321 HTA reports were published (49.8% included a SR). Works and services provided by the Cochrane collaboration were very well-known and HTA units were highly satisfied with CSRs (80%-100%). As regards to applicability in HTA and use of CSRs, major strengths were as follow: Useful as resource for search terms and background material; May reduce the workload (eg, brief review instead of full SR); Use to update a current review. Major weaknesses were: Limited use since no CSRs were available for many HTA projects; Difficulty to apply findings to local context; Focused only on efficacy and innocuity; Cannot be used as a substitute to a full HTA report. This study provided a unique context of assessment with a familiar group of producers, users and disseminators of CSRs in hospital setting. Since they generally used other articles from the literature or produce an original SR in complement with CSRs, this led to suggestions to improve their use of CSRs. However, the main limit for the use of CRS in local HTA will remain its lack of contextualisation. As such, this study reinforces the need to consider the notion of complementarity of experimental data informing us about causality and contextual data, allowing decision-making adapted to local issues.https://www.ijhpm.com/article_3875_628fb16e260c166b03bf52025f3921a5.pdfcochrane systematic reviewsystematic reviewhealth technology assessmenthospitalquebec |
| spellingShingle | Thomas G. Poder Marc Rhainds Christian A. Bellemare Simon Deblois Imane Hammana Catherine Safianyk Sylvie St-Jacques Pierre Dagenais Experiences of Using Cochrane Systematic Reviews by Local HTA Units International Journal of Health Policy and Management cochrane systematic review systematic review health technology assessment hospital quebec |
| title | Experiences of Using Cochrane Systematic Reviews by Local HTA Units |
| title_full | Experiences of Using Cochrane Systematic Reviews by Local HTA Units |
| title_fullStr | Experiences of Using Cochrane Systematic Reviews by Local HTA Units |
| title_full_unstemmed | Experiences of Using Cochrane Systematic Reviews by Local HTA Units |
| title_short | Experiences of Using Cochrane Systematic Reviews by Local HTA Units |
| title_sort | experiences of using cochrane systematic reviews by local hta units |
| topic | cochrane systematic review systematic review health technology assessment hospital quebec |
| url | https://www.ijhpm.com/article_3875_628fb16e260c166b03bf52025f3921a5.pdf |
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