影响肯尼亚卫生技术评估制度化的因素
Rahab Mbau1,2, Anna Vassall3, Lucy Gilson3,4
1Department of Global Health and Development, London School of Hygiene and Tropical Medicine, Keppel Street, London, WC1E 7HT, UK. Rahab.Mbau@lshtm.ac.uk.
BMC health services research
|June 22, 2023
概括
在肯尼亚,医疗技术评估 (HTA) 的制度化得到了结构,政策和国际合作的支持,但受到资源限制和利益相关者的利益所阻碍. 加强能力和意识是成功实施HTA的关键.
科学领域:
- 卫生政策和系统研究 卫生政策和系统研究
- 卫生经济学 卫生经济学
- 技术评估 技术评估
背景情况:
- 全球有兴趣将医疗技术评估 (HTA) 制度化为医疗保健优先设定.
- 医疗技术评估制度化包括将医疗技术评估纳入资源分配决策的规范实践.
- 肯尼亚对HTA制度化的背景需要检查影响因素.
研究的目的:
- 检查影响肯尼亚卫生技术评估 (HTA) 制度化的因素.
- 确定肯尼亚卫生系统中HTA采用的促进者和障碍.
主要方法:
- 定性案例研究设计.
- 文件审查和30名参与者的深入采访.
- 主题数据分析方法.
主要成果:
- 促进者包括组织结构,法律框架,能力建设,政策制定者对UHC的兴趣,技术官员对证据的兴趣,国际合作和双边机构的参与.
- 障碍包括有限的人力,财务和信息资源;缺乏HTA指南;低次国家意识;和行业利益.
- 不同的利益相关者既支持,也反对HTA制度化.
结论:
- 肯尼亚卫生部应该采取一个系统的方法来对HTA制度化.
- 建议包括长期能力建设,为HTA专门的国家卫生预算,开发成本数据库,创建特定环境的HTA指导方针,提高地方利益相关者的意识,以及管理竞争利益.
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