How Will the Danish Health Technology Council Influence Regional Purchase Decision of Medical Devices?
Author
Term
4. term
Publication year
2022
Submitted on
2022-06-01
Pages
58
Abstract
Baggrund: Der blev stillet spørgsmålstegn ved, hvordan DHTC som en centraliseret HTAU ville give input til decentraliserede beslutningstagere, der handler på et udbudsdrevet marked bestående af forskellige markedsfejl. Formål: Formålet med undersøgelsen var at belyse den nuværende regionale beslutningstagning vedrørende indkøb af medicinsk udstyr og DHTC’s forventede og potentielle rolle i dette. For at besvare forskningsspørgsmålet: Hvordan vil DHTC påvirke den regionale købsbeslutning af medicinsk udstyr? Metode: Formålet blev undersøgt ved at udføre en multipel scenarieanalyse og seks semistrukturerede interviews, fuldt transskriberet og analyseret gennem en meningskategoriseringsanalyse. Resultater: Direkte indflydelse på regionale købsbeslutninger er mulig i monopolistiske markedssituationer, hvis ansøgningskriteriet om, at medicinsk udstyr skal være ’omkostningsneutral’ eller ’omkostningsreducerende’ ekskluderes. Kun implicit indflydelse er mulig ved vurdering af udstyr under konkurrenceforhold på grund af udbudslovgivningen. Konklusion: Det anbefales, at DHTC genovervejer deres organisationsstruktur i forhold til, hvilke beslutninger de ønsker at give input til og påvirke, da det er umuligt for DHTC at påvirke enhver regional købsbeslutning.
Background: It was questioned, how the DHTC as a centralised HTAU would give input to decentralised decision-makers acting on a tender-driven market consisting of various market failures. Objectives: The objective of investigation was to elucidate current regional decisionmaking regarding procurement of medical devices and the DHTC’s expected and potential role in this. Thus, to answer the research question of: How will the DHTC influence regional purchase decision of medical devices? Methodology: The objective was investigated by performing a multiple scenario analysis and six semi-structured interviews, fully transcribed and analysed through an opinion-categorisation-analysis. Findings: Direct influence in regional purchase decisions is possible in monopolistic market situations if the application criterion of devices being ‘cost-neutral’ or ‘costreducing’ is excluded. Only implicit influence is possible when evaluating devices in competitive conditions due to tender legislation. Conclusion: It is recommended that the DHTC reconsider their organisational structure in relation to what decisions they wish to give input to and influence, as it is infeasible for the DHTC to influence every regional purchase decision.
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