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. 2023 Jun 19;39(1):e41.
doi: 10.1017/S0266462323000363.

Decision making for early surgical technology adoption into Canada's healthcare system: a scoping review of the decision-making criteria, challenges, and opportunities

Haitham Shoman  1   2   3 , Michael Tanzer  2   3
Affiliations

Decision making for early surgical technology adoption into Canada's healthcare system: a scoping review of the decision-making criteria, challenges, and opportunities

Haitham Shoman et al. Int J Technol Assess Health Care. .

Abstract

Objectives: In 2020, Canada spent 12.9 percent of its GDP on healthcare, of which 3 percent was on medical devices. Early adoption of innovative surgical devices is mostly driven by physicians and delaying adoption can deprive patients of important medical treatments. This study aimed to identify the criteria in Canada used to decide on the adoption of a surgical device and identify challenges and opportunities.

Methods: This scoping review was guided by the Joanna Briggs Institute Manual for Evidence Synthesis and PRISMA-ScR reporting guidelines. The search strategy included Canada's provinces, different surgical fields, and adoption. Embase, Medline, and provincial databases were searched. Grey literature was also searched. Data were analyzed by reporting the criteria that were used for technology adoption. Finally, a thematic analysis by subthematic categorization was conducted to arrange the criteria found.

Results: Overall, 155 studies were found. Seven were hospital-specific studies and 148 studies were from four provinces with publicly available Web sites for technology assessment committees (Alberta, British Columbia, Ontario, and Quebec). Seven main themes of criteria were identified: economic, hospital-specific, technology-specific, patients/public, clinical outcomes, policies and procedures, and physician specific. However, standardization and specific weighted criteria for decision making in the early adoption stage of novel technologies are lacking in Canada.

Conclusions: Specific criteria for decision making in the early adoption stage of novel surgical technologies are lacking. These criteria need to be identified, standardized, and applied in order to provide innovative, and the most effective healthcare to Canadians.

Keywords: Canada; adoption; decision; healthcare system; surgical technology.

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Conflict of interest statement

The authors have no competing interest.

Figures

Figure 1.
Figure 1.
PRISMA (scoping review) flowchart.
Figure 2.
Figure 2.
Frequency of criteria reporting from studies.
See this image and copyright information in PMC

References

    1. World Health Organization. Everybody’s business – strengthening health systems to improve health outcomes: WHO’s framework for action. 2007. Available from: https://apps.who.int/iris/handle/10665/43918.
    1. Böhm K, Schmid A, Götze R, Landwehr C, Rothgang H. Five types of OECD healthcare systems: Empirical results of a deductive classification. Health Policy. 2013;113(3):258–269. - PubMed
    1. World Economic Forum. The world has 4 key types of health service – this is how they work. 2020. Available from: https://www.weforum.org/agenda/2020/10/covid-19-healthcare-health-servic....
    1. Husereau D. Medical device and diagnostic pricing and reimbursement in Canada. Edmonton (AB): Institute of Health Economics; 2015.
    1. Canadian Institute for Health Information. Health expenditure data in brief. Ottawa (ON): CIHI; 2021. Available from: https://www.cihi.ca/en/how-does-canadas-health-spending-compare.

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