Health technology assessment (HTA) and performance management (PM): a scoping review on the intersecting realms

Abstract Background Both Health Technology Assessment (HTA) and Performance Management (PM) are clinical governance disciplines that aim to improve the quality, equity, and financial sustainability of health organizations and systems. Although HTA and PM share many features, to the authors’ knowledg...

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Main Authors: Esther Oluwatosin Akinbobola, Francesca De Domenico, Stefania Manetti, Guido Noto
Format: Article
Language:English
Published: BMC 2025-07-01
Series:BMC Health Services Research
Subjects:
Online Access:https://doi.org/10.1186/s12913-025-12879-3
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author Esther Oluwatosin Akinbobola
Francesca De Domenico
Stefania Manetti
Guido Noto
author_facet Esther Oluwatosin Akinbobola
Francesca De Domenico
Stefania Manetti
Guido Noto
author_sort Esther Oluwatosin Akinbobola
collection DOAJ
description Abstract Background Both Health Technology Assessment (HTA) and Performance Management (PM) are clinical governance disciplines that aim to improve the quality, equity, and financial sustainability of health organizations and systems. Although HTA and PM share many features, to the authors’ knowledge, few studies have investigated their interplay. This study attempts to fill this gap by analysing how the literature has explored and developed the integration between HTA and PM concepts and tolls within healthcare sector. Methods To address this gap, this study examines 33 papers selected through a scoping review that explores the intersection of HTA and PM within the healthcare sector. In particular, the paper adopted the preferred reporting items for systematic reviews and meta-analysis (PRISMA) methodology to select and analyse articles. Results The review highlights the dynamic convergence of HTA and PM, emphasizing how combining these frameworks and functions can enhance decision-making in healthcare. This integration ensures that technologies are adopted on the basis of proven effectiveness in pursuing healthcare systems goals and that performance metrics align with evidence-based practices, leading to better resource allocation and improved patient outcomes. The literature review underscores the need for further research to understand the integration between HTA and PM and their combined impact on organizational performance, sustainability, and resilience in the healthcare sector. Conclusion This study contributes to the literature by providing a comprehensive overview of the current state of research on HTA and PM, offering insights for future studies, and practical recommendations for integrating these disciplines to improve healthcare management and policymaking.
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spelling doaj-art-ea78e72f0b124673b62dcd19552ff0162025-08-20T04:01:23ZengBMCBMC Health Services Research1472-69632025-07-0125111510.1186/s12913-025-12879-3Health technology assessment (HTA) and performance management (PM): a scoping review on the intersecting realmsEsther Oluwatosin Akinbobola0Francesca De Domenico1Stefania Manetti2Guido Noto3Department of Economics, University of MessinaDepartment of Economics, University of MessinaDepartment for the Promotion of Human Sciences and Quality of Life, San Raffaele Roma UniversityDepartment of Economics, University of MessinaAbstract Background Both Health Technology Assessment (HTA) and Performance Management (PM) are clinical governance disciplines that aim to improve the quality, equity, and financial sustainability of health organizations and systems. Although HTA and PM share many features, to the authors’ knowledge, few studies have investigated their interplay. This study attempts to fill this gap by analysing how the literature has explored and developed the integration between HTA and PM concepts and tolls within healthcare sector. Methods To address this gap, this study examines 33 papers selected through a scoping review that explores the intersection of HTA and PM within the healthcare sector. In particular, the paper adopted the preferred reporting items for systematic reviews and meta-analysis (PRISMA) methodology to select and analyse articles. Results The review highlights the dynamic convergence of HTA and PM, emphasizing how combining these frameworks and functions can enhance decision-making in healthcare. This integration ensures that technologies are adopted on the basis of proven effectiveness in pursuing healthcare systems goals and that performance metrics align with evidence-based practices, leading to better resource allocation and improved patient outcomes. The literature review underscores the need for further research to understand the integration between HTA and PM and their combined impact on organizational performance, sustainability, and resilience in the healthcare sector. Conclusion This study contributes to the literature by providing a comprehensive overview of the current state of research on HTA and PM, offering insights for future studies, and practical recommendations for integrating these disciplines to improve healthcare management and policymaking.https://doi.org/10.1186/s12913-025-12879-3Health technology assessmentPerformance managementScoping reviewEvidence-based managementKPI
spellingShingle Esther Oluwatosin Akinbobola
Francesca De Domenico
Stefania Manetti
Guido Noto
Health technology assessment (HTA) and performance management (PM): a scoping review on the intersecting realms
BMC Health Services Research
Health technology assessment
Performance management
Scoping review
Evidence-based management
KPI
title Health technology assessment (HTA) and performance management (PM): a scoping review on the intersecting realms
title_full Health technology assessment (HTA) and performance management (PM): a scoping review on the intersecting realms
title_fullStr Health technology assessment (HTA) and performance management (PM): a scoping review on the intersecting realms
title_full_unstemmed Health technology assessment (HTA) and performance management (PM): a scoping review on the intersecting realms
title_short Health technology assessment (HTA) and performance management (PM): a scoping review on the intersecting realms
title_sort health technology assessment hta and performance management pm a scoping review on the intersecting realms
topic Health technology assessment
Performance management
Scoping review
Evidence-based management
KPI
url https://doi.org/10.1186/s12913-025-12879-3
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AT stefaniamanetti healthtechnologyassessmenthtaandperformancemanagementpmascopingreviewontheintersectingrealms
AT guidonoto healthtechnologyassessmenthtaandperformancemanagementpmascopingreviewontheintersectingrealms