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Main Title: Implementation of Innovative Medical Technologies in German Inpatient Care: Patterns of Utilization and Evidence Development
Author(s): Dreger, Marie
Eckhardt, Helene
Felgner, Susanne
Ermann, Hanna
Lantzsch, Hendrikje
Rombey, Tanja
Busse, Reinhard
Henschke, Cornelia
Panteli, Dimitra
Type: Article
Abstract: Background: Innovative medical technologies are commonly associated with positive expectations. At the time of their introduction into care, there is often little evidence available regarding their benefits and harms. Accordingly, some innovative medical technologies with a lack of evidence are used widely until or even though findings of adverse events emerge, while others with study results supporting their safety and effectiveness remain underused. This study aims at examining the diffusion patterns of innovative medical technologies in German inpatient care between 2005 and 2017 while simultaneously considering evidence development. Methods: Based on a qualitatively derived typology and a quantitative clustering of the adoption curves, a representative sample of 21 technologies was selected for further evaluation. Published scientific evidence on efficacy/effectiveness and safety of the technologies was identified and extracted in a systematic approach. Derived from a two-dimensional classification according to the degree of utilization and availability of supportive evidence, the diffusion patterns were then assigned to the categories “Success” (widespread/positive), “Hazard” (widespread/negative), “Overadoption” (widespread/limited or none), “Underadoption” (cautious/positive), “Vigilance” (cautious/negative), and “Prudence” (cautious/limited or none). Results: Overall, we found limited evidence on the examined technologies regarding both the quantity and quality of published randomized controlled trials. Thus, the categories “Prudence” and “Overadoption” together account for nearly three-quarters of the years evaluated, followed by “Success” with 17%. Even when evidence is available, the transfer of knowledge into practice appears to be inhibited. Conclusions: The successful implementation of safe and effective innovative medical technologies into practice requires substantial further efforts by policymakers to strengthen systematic knowledge generation and translation. Creating an environment that encourages the conduct of rigorous studies, promotes knowledge translation, and rewards innovative medical technologies according to their added value is a prerequisite for the diffusion of valuable health care.
Subject(s): adoption
clinical trials
diffusion patterns
inpatient care
medical technologies
value-based health care
Issue Date: 30-Oct-2021
Date Available: 13-Dec-2021
Is Supplemented By: 10.1186/s13012-022-01187-7
Language Code: en
DDC Class: 610 Medizin und Gesundheit
Sponsor/Funder: TU Berlin, Open-Access-Mittel – 2021
Journal Title: Implementation Science
Publisher: Springer Nature
Volume: 16
Article Number: 94
Publisher DOI: 10.1186/s13012-021-01159-3
EISSN: 1748-5908
Notes: A Correction to this article was published on 24 January 2022
TU Affiliation(s): Fak. 7 Wirtschaft und Management » Inst. Technologie und Management (ITM) » FG Management im Gesundheitswesen
Appears in Collections:Technische Universität Berlin » Publications

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