Authors' recommendations: Barriers to the incorporation of NHTEconomic: Most of the hospitals showed budgetary limitations and insufficient economic resources.Organizational-structural: The large hospitals stated they had physical limitations, of space and adaptation of the areas involved. They had difficulty incorporating NHTs that were not adapted to the hospital’s strategies and limitations due to a dependence on the Regional Central Services which left little autonomy for decision making. Some hospitals mentioned the absence of a body of the Central or Regional Administration that is in charge of the evaluations. Also, difficulties were indicated in eliminating or replacing the previous technologies. It was indicated that some services monopolize a large part of the time of the Board and that the established procedures are not suitably fulfilled. The medium sized hospitals stated that the activity of the centre could hinder the purchase of NHT even though it could be effective. The small hospitals alluded to difficulties of physical spaceand resistance to the changes in the working methods that the incorporation of the NHT would involve.Information: The large hospitals stated that the scientific evidence to assist decision making is scarce and of low quality. Also there is little evidence about the maintenance of the technologies. The medium sized hospitals had the same limitations in relation to the lack of evidence and the lack of specific analyses on the benefits and costs of the NHT.Human resources: In general, limitations appeared that were related to resistance to change by the professionals and the need for their own technical qualification, independently of the type of hospital.

Project Status: Completed

URL for project: https://www.aetsa.org/publicacion/incorporacion-de-nuevas-tecnologias-en-los-hospitales-espanoles/

Year Published: 2011

URL for published report: https://www.aetsa.org/download/publicaciones/antiguas/AETSA_2007-19_Incorporacion_Nuevas_Tec.pdf

English language abstract: An English language summary is available

Publication Type: Not Assigned

Country: Spain

Organisation Name: Andalusian Health Technology Assessment Area

Contact Address: Area de Evaluacion de Tecnologias Sanitarias Sanitarias de Andalucia (AETSA) Avda. Innovación, s/n Edificio Arena 1. Sevilla (Spain) Tel. +34 955 006 309

Contact Name: aetsa.csalud@juntadeandalucia.es

Contact Email: aetsa.csalud@juntadeandalucia.es

Copyright: Andalusian Agency for Health Technology Assessment (AETSA)