How Will the Danish Health Technology Council Influence Regional Purchase Decision of Medical Devices?
Author
Spies, Amanda Kristine Faust
Term
4. term
Publication year
2022
Submitted on
2022-06-01
Pages
58
Abstract
Dette studie undersøger, hvordan DHTC, en central enhed der vurderer sundhedsteknologi, kan give input til regionale beslutningstagere, som køber medicinsk udstyr via offentlige udbud i et marked, der ikke altid fungerer perfekt. Formålet er at belyse, hvordan regionerne i dag træffer beslutninger om indkøb af medicinsk udstyr, og hvilken rolle DHTC forventes og potentielt kan spille. Forskningsspørgsmålet er: Hvordan vil DHTC påvirke regionale indkøb af medicinsk udstyr? Undersøgelsen anvendte multiple scenarieanalyser og seks semistrukturerede interviews, der blev fuldt transskriberet og analyseret ved at kategorisere udsagn. Resultaterne viser, at DHTC kan få direkte indflydelse på regionale indkøbsbeslutninger i monopolprægede markeder (fx når der kun er én leverandør), men kun hvis kravet om, at udstyr skal være omkostningsneutralt eller omkostningsreducerende, ikke gælder. I konkurrenceprægede markeder, der er underlagt udbudslovgivning, er DHTC’s indflydelse primært indirekte. Konklusionen er, at DHTC bør genoverveje sin organisatoriske struktur og afklare, hvilke beslutninger de ønsker at give input til og påvirke, da det ikke er realistisk at påvirke alle regionale indkøb.
This study examines how the DHTC, a centralized unit that assesses health technologies, can inform regional decision-makers who buy medical devices through public tenders in a market that does not always function perfectly. The aim is to clarify how regions currently make procurement decisions and what role the DHTC is expected and able to play. The research question is: How will the DHTC influence regional purchases of medical devices? The investigation used multiple scenario analyses and six semi-structured interviews, which were fully transcribed and analyzed by grouping statements into categories. Findings indicate that the DHTC can exert direct influence on regional purchasing decisions in monopolistic markets (for example, when there is only one supplier), but only if the requirement that devices must be cost-neutral or cost-reducing is not applied. In competitive markets governed by tender legislation, the DHTC’s influence is mainly indirect. The study concludes that the DHTC should reconsider its organizational set-up and clarify which decisions it aims to inform and influence, because it is not feasible to affect every regional purchase.
[This summary has been rewritten with the help of AI based on the project's original abstract]
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