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IMPLEMENTING HEALTH TECHNOLOGY ASSESSMENT-BASED RECOMMENDATIONS IN FINLAND: MANAGED UPTAKE OF MEDICAL METHODS

Published online by Cambridge University Press:  13 July 2017

Sinikka Sihvo
Affiliation:
National Institute for Health and Welfare (THL)[email protected]
Tuija Ikonen
Affiliation:
Turku University Hospital and Turku University
Marjukka Mäkelä
Affiliation:
Finohta (Finnish Office for Health Technology Assessment), National Institute for Health and Welfare (THL), and Department of General Practice, University of Copenhagen

Abstract

Objectives: The Managed Uptake of Medical Methods Program (MUMM) started 10 years ago as a joint venture of the Finnish Office for Health Technology Assessment (Finohta) and the twenty hospital districts in Finland. The aim is to offer information on the effectiveness, safety, organizational effects, and costs of new medical methods to support decisions concerning their uptake in secondary care. In this article, we discuss the successes and challenges of implementing the MUMM program.

Methods: A study of awareness and use of five MUMM recommendations for various medical specialties with short-form web-based surveys to hospitals.

Results: The recommendations were noticed and considered relevant. In overall assessment they received a mean rating of 8.4 (range: 4 to 10). Two thirds of the respondents thought MUMM recommendations were useful for practice, but only a third had actually used them in decision making.

Conclusions: HTA-based MUMM recommendations were well received by physicians but in practice they are less used than clinical practice guidelines. Short-form electronic surveys were a useful way of gathering information about awareness and implementation. The surveys also functioned as another method of informing key physicians about the recommendations.

Type
Theme Submissions
Copyright
Copyright © Cambridge University Press 2017 

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References

REFERENCES

1. Danish Centre for Evaluation and Health Technology Assessment (DACEHTA). Introduction to mini-HTA - A management and decision support tool for the hospital service. ISBN: 87-7676-237-8. ElectronicVersion date: 12.12.2005. http://www.sst.dk/~/media/47C62A769EBC4E80A153F986C5348F55.ashx (accessed May 8, 2017).Google Scholar
2. Hailey, D, Werkö, S, Rosén, M, et al. Influence of health technology assessment and its measurement. Int J Technol Assess Health Care. 2016;32:376384.CrossRefGoogle ScholarPubMed
3. Sihvo, S. Implementation of Managed Uptake of Medical Methods programme (MUMM) in secondary care. Master's thesis. University of Barcelona 2013. www.thl.fi/documents/189940/1449612/Master+thesis-UB-Sinikka+Sihvo+301213.pdf/a3e24334-33d8-48e1-9f61-191e84970c0f (accessed September 20, 2016).Google Scholar
4. Ikonen, T, Rautiainen, H, Räsänen, P, Sihvo, S, Roine, R. HALO-suositusten käyttöönoton seurannassa on haasteita. (Adherence to the national Managed Uptake of Medical Methods programme guidelines on uptake of new technologies in secondary health care in Finland). [English abstract].) Suom Lääkäril. 2014;69;27132721.Google Scholar
5. Dobbins, M, Hanna, S, Ciliska, D, et al. A randomized controlled trial evaluating the impact of knowledge translation and exchange strategies. Implement Sci. 2009;4:61.CrossRefGoogle ScholarPubMed
6. Karma, P, Roine, R, Simonen, O, Isolahti, E. Noudatetaanko hoitosuosituksia erikoissairaanhoidossa? [Are practice guidelines being followed in specialized care? In Finnish.] Duodecim. 2015;131: 14671474.Google Scholar
7. Perrier, L, Mrklas, K, Lavis, J, Straus, S. Interventions encouraging the use of systematic reviews by health policy makers and managers: A systematic review. Implement Sci 2011;6:43.CrossRefGoogle Scholar
8. Zechmeister, I, Schumacher, I. The impact of health technology assessment reports on decision making in Austria. Int J Technol Assess Health Care. 2012;28:7784.CrossRefGoogle ScholarPubMed