对于医疗器械的评估,哪些价值方面是相关的? 通过Web-Delphi过程探索利益相关者的观点
Liliana Freitas1, Ana C L Vieira2, Mónica D Oliveira2,3
1CEG-IST, Instituto Superior Técnico, Universidade de Lisboa, Av. Rovisco Pais, 1049-001, Lisbon, Portugal. liliana.freitas@tecnico.ulisboa.pt.
BMC health services research
|June 8, 2023
概括
利益相关者同意将多重价值方面纳入医疗器械评估. 这项研究为评估医疗器械的框架提供信息,考虑有效性,安全性,成本以及环境影响等新型因素.
科学领域:
- 卫生技术评估 卫生技术评估
- 医疗器械评估 医疗器械评估
- 利益相关者参与 利益相关者参与
背景情况:
- 医疗器械的健康技术评估 (HTA) 需要更广泛的利益相关者投入,而不仅仅是成本和有效性.
- 医疗器械HTA目前的利益相关者参与需要改进.
研究的目的:
- 从利益关方的角度探索不同价值方面的相关性,以评估不同类型的医疗器械.
- 确定全面医疗器械评估的关键标准.
主要方法:
- 一个两轮的Web-Delphi过程,涉及来自五个利益相关方组的134名参与者.
- 参与者对医疗器械的"植入式"和"基于生物标志物的体外试验"评价了34个价值方面.
- 分析各利益相关者群体和设备类型的相关性水平.
主要成果:
- 专家小组和利益相关者小组认为这34个方面都与两种设备类型有关.
- 有效性和安全性被评为"关键",而成本被评为"基本".
- 环境影响和专业使用等新的方面被确定为相关的,与中等到实质性的协议.
结论:
- 利益相关者一致认为,有必要在医疗器械评估中纳入多个价值方面.
- 调查结果为开发强大的HTA框架和指导医疗器械证据收集提供了关键数据.
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