适应性卫生技术评估:对方法的全面审查
Cassandra Nemzoff1, Hiral A Shah2, Lieke Fleur Heupink3
1International Decision Support Initiative, Center for Global Development, Washington, DC, USA; Department of Global Health and Development, London School of Hygiene and Tropical Medicine, London, England, UK.
概括
适应性卫生技术评估 (aHTA) 通过利用现有证据,提供更快,更有效的优先级设定. 虽然有用,但aHTA需要更好的正式化,以便在卫生系统中更广泛地采用.
科学领域:
- 医疗技术评估 (HTA) 是指对医疗技术进行评估.
- 卫生经济学 卫生经济学
- 卫生政策 卫生政策
背景情况:
- 全面医疗技术评估 (HTA) 是资源密集型的,限制了其适用于为普遍医疗覆盖提供及时决策的应用.
- 适应性HTA (aHTA) 系统地利用来自其他环境的现有HTA证据来加快评估.
- 当时间是一个关键约束时,aHTA也被称为快速HTA.
研究的目的:
- 进行范围审查,确定和绘制现有的aHTA方法.
- 评估各种aHTA方法的触发因素,优点和弱点.
- 了解全球格局和适应性HTA的应用.
主要方法:
- 系统搜索HTA机构和网络网站.
- 关于aHTA方法的已发表研究的文献搜索.
- 来自已确定的来源的发现的叙述综合.
主要成果:
- 在20个国家确定了aHTA方法,并在多个大陆建立了1个HTA网络.
- 描述了5种类型的aHTA:快速审查,快速成本效益分析,快速制造商提交,转移和事实上的HTA.
- 对于HTA的常见触发因素包括紧迫性,证据确定性和低预算影响;好处包括速度和效率,尽管标准化和透明度有限.
结论:
- aHTA在全球范围内使用,可以提高卫生优先设定系统的效率.
- 需要对aHTA方法进行正式化,以改善其采用,特别是在新兴的HTA系统中.
- 进一步的开发可以优化适应性HTA的使用,以获得更好的医疗保健决策.
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