TECHNOLOGY ASSESSMENT PHD DOUTORAL CONFERENCE TECHNOLOGY GOVERNANCE IN RADIOLOGY Maria João Maia Supervisor: Prof. Dr. António Brandão Moniz Co-Supervisor: Prof. Dr. Michael Decker THE EXAMPLE OF MAGNETIC RESONANCE IMAGING
TECHNOLOGY ASSESSMENT PHD
DOUTORAL CONFERENCE
TECHNOLOGY GOVERNANCE IN RADIOLOGY
Maria João Maia
Supervisor: Prof. Dr. António Brandão Moniz
Co-Supervisor: Prof. Dr. Michael Decker
THE EXAMPLE OF MAGNETIC RESONANCE IMAGING
Contents
Technology Governance in Radiology
Doctoral Conference – PhD Technology Assessment
Maria João Maia
09.06.2011
1. Introduction - Overview
2. Portuguese Health System
3. MRI in Portugal
4. Chain Value
5. Goals / Research Questions
2
6. Methodology
7. Final Remarks
1. Introduction – Definitions …
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“… as the practical application of knowledge, as the application of scientific or other organized knowledge - including any tool, technique, product, process, method, organization or system--to practical tasks.”
Technology
Goodman, C. S. (2004). HTA 101 - Introduction to health technology assessment. Journal of the American College of Radiology : JACR (Vol. 6, p. 155). The Lewin Group.
Technology Governance in Radiology
Doctoral Conference – PhD Technology Assessment
1. Introduction – Definitions …
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Health Tecnology
equipments andaccessories
medical and surgicalprocedures
technicalprocedures
Contrast mediaMedicines
Technology Governance in Radiology
Doctoral Conference – PhD Technology Assessment
1. Introduction – Evidences …
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Few resources
High costs
Need for good
management
Patientexpectations
Technology Governance in Radiology
Doctoral Conference – PhD Technology Assessment
2. Portuguese Health System
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Access to health services through:
National Health System – SNS -
Insurance Company, “Misericórdias” or sub-system health client
Private health care services client
Technology Governance in Radiology
Doctoral Conference – PhD Technology Assessment
2. Portuguese Health System
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Health Ministry
Regional Health Administrations
– ARS -
Health Sub-Regions
SNSInsurances
Sub-Systems
- ADSE - UCS- ADM - SSCGD- SAD - SAMS- PT-ACS - SA-VIDA
Technology Governance in Radiology
Doctoral Conference – PhD Technology Assessment
Private Services
3. MRI in Portugal
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Toshiba Public = 0Private = 6
GE Public = --Private = --
*
Siemens Public = 11Private = 22
*
Phillips Public = 9Private = 27
*
* Non official dataTechnology Governance in Radiology
Doctoral Conference – PhD Technology Assessment
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Private sector
Public sector
PhilipsSiemensToshiba
Technology Governance in Radiology
Doctoral Conference – PhD Technology Assessment
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Private sector
Public sector
Technology Governance in Radiology
Doctoral Conference – PhD Technology Assessment
4. Chain Value
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Suppliers
Community
MRI equipment producer -
Pharmaceutical
Employees
Dealers Representatives
Technology Governance in Radiology
Doctoral Conference – PhD Technology Assessment
Government Patients
COMPETENCES
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Work
Do tasksIntervene
Knowledge
TheoreticalKnowledge
How to do
Tecnical andProfessional Competences
How to be
Social andRelational
CompetencesHow to learn
CognitiveCapacity
4. Chain Value
Technology Governance in Radiology
Doctoral Conference – PhD Technology Assessment
5. Goals
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Contribute to a deeper understanding in how TA is made in healthcare area, specifically in Radiology, using as an example the MRI equipment and all decision-making that surrounds it.
General Goal
5. Goals
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1
Establish a national skills mapping on TA and decision-making in Radiology, particularly in MRI area, by verifying the similarities and differences in stakeholders perceptions.
2
Identify indicators present in decision-making, and provide for their prioritization.
Technology Governance in Radiology
Doctoral Conference – PhD Technology Assessment
5. Research Questions and Hypotheses
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P1: In TA, which stakeholders are involved
and which are their points of views? (H1)
Technology Governance in Radiology
Doctoral Conference – PhD Technology Assessment
P2: What skills should the stakeholder have in the process of decision- making, during the TA? (H4)
5. Research Questions and Hypotheses
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P3: What procedures should be taken into account in decision-making process? (H2)
Technology Governance in Radiology
Doctoral Conference – PhD Technology Assessment
P4: What indicators are present in decision making process? What is their priority? (H2)
5. Research Questions and Hypotheses
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P5: Which are the factors that can influence the decision-making process from the point of view of each decision-maker / stakeholder? (H2)
Technology Governance in Radiology
Doctoral Conference – PhD Technology Assessment
P6: Are there any competitive advantages for TA in equipment acquisition? (H3)
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6. Methodology
COMPETENCES
Work
Do tasksIntervene
Knowledge
TheoreticalKnowledge
How to do
Tecnical andProfessional Competences
How to be
Social andRelational
CompetencesHow to learn
CognitiveCapacity
Technology Governance in Radiology
Doctoral Conference – PhD Technology Assessment
6. Methodology
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20 – Radiographer5 – Radiologist (Physicians)6 – Tecnical Assistant (Office)8 – Operational Assistant
Total = 39 questionnaires
Technology Governance in Radiology
Doctoral Conference – PhD Technology Assessment
6. Methodology – Pre Test
Technology Governance in Radiology
Doutoral Conference – PDH Technology Assessment
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Q1. Medical Sciences
Q2. Physical Sciences
Q3. Radiobiology and Radiatio
n Protection
Q4. Electronics
and Clinic Instrumentation
Q5. Management and
Administration
Q6. Communication and
Behavioral Sciences
Q7. Information Systems
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6. Methodology - pre test results
1
2
3
4
5Q1
Q2
Q3
Q4Q5
Q6
Q7
Radiographer
Technology Governance in Radiology
Doctoral Conference – PhD Technology Assessment
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1
2
3
4
5Q1
Q2
Q3
Q4Q5
Q6
Q7
Radiologist (Physician)
6. Methodology - pre test results
Technology Governance in Radiology
Doctoral Conference – PhD Technology Assessment
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1
2
3
4
5Q1
Q2
Q3
Q4Q5
Q6
Q7
Technical Assistant (Office)
6. Methodology - pre test results
Technology Governance in Radiology
Doctoral Conference – PhD Technology Assessment
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1
2
3
4
5Q1
Q2
Q3
Q4Q5
Q6
Q7
Operational Assistant
6. Methodology - pre test results
Technology Governance in Radiology
Doctoral Conference – PhD Technology Assessment
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RadiographerRadiologist (Physician)Tecnical Assistant (Office)Operational Assistant
6. Methodology - pre test results
1
2
3
4
5Q1
Q2
Q3
Q4Q5
Q6
Q7
1
2
3
4
5Q1
Q2
Q3
Q4Q5
Q6
Q7
Average
Technology Governance in Radiology
Doctoral Conference – PhD Technology Assessment
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6. Methodology - pre test results
Above Average Bellow Average
Q1. Medical Sciences
Q2. Physical Sciences
Q3. Radiobiology and Radia
tion Protection
Q4. Electronics
and Clinic Instrumentation
Q5. Management and
Administration
Q6. Communication and
Behavioral Sciences
Q7. Computers
RadiographerRadiologist Operational A.
Radiologist
Radiologist
Radiologist
Radiologist
Technical A.
Operational A.
Operational A.
Operational A.
Operational A.
Operational A.Radiographer
Radiographer
Radiographer
Radiographer
Technical A.
Technical A.
Technical A.
Technical A.
Technical A.
Technical A.
Technology Governance in Radiology
Doctoral Conference – PhD Technology Assessment