提出"基于价值和证据的决策和实践" (VEDMAP) 框架,以确定低收入和中等收入国家的优先事项和知识转化:在像马拉维这样的低收入和中等收入国家做出决策的新框架
Joseph Mfutso-Bengo1,2,3, Nthanda Nkungula1,2, Emmanuel Mnjowe1
1Health Economics and Policy Unit, Department of Health Systems and Policy, Kamuzu University of Health Sciences, Lilongwe, Malawi.
Health policy OPEN
|June 29, 2023
概括
决策者在使用证据时面临道德困境,导致效率低下的选择. 基于价值和证据的决策和实践 (VEDMAP) 框架为更好的医疗技术评估和政策提供了一个可行的解决方案.
科学领域:
- 卫生政策和系统研究 卫生政策和系统研究
- 以证据为基础的决策
- 医疗技术评估 (HTA) 是指对医疗技术进行评估.
背景情况:
- 决策者,特别是在低收入国家,在选择和利用最好的可用证据时,面临着道德困境.
- 相互矛盾的证据,道德平衡和相互竞争的利益往往导致基于方便,个人偏好或外部压力的决定,导致资源浪费.
- 拟议的基于价值和证据的决策和实践 (VEDMAP) 框架旨在应对这些挑战.
研究的目的:
- 引入和评估VEDMAP框架的可行性和可接受性,作为卫生技术评估 (HTA) 的优先设定工具.
- 评估VEDMAP框架在提高决策过程中的效率,可追溯性,透明度和完整性的潜力.
主要方法:
- 进行了桌面审查,以对非洲各国的HTA进行基准标准值进行基准评估.
- 在马拉维的Thanzi la Onse (TLO) 项目的范围研究中,采用了混合方法,包括重点小组讨论和关键告密者采访.
- 该研究绘制了规范和实践价值,以评估VEDMAP框架在马拉维的适用性.
主要成果:
- 发现VEDMAP框架在马拉维是可行的和可接受的.
- 该研究证实了VEDMAP在提高政策和决策的效率,可追溯性,透明度和诚信方面的潜力.
- 该框架提供了一个结构化的方法,以在资源有限的环境中导航证据的复杂性.
结论:
- 维德马普框架是改善在卫生政策和决策中的证据利用的可行工具,特别是在低收入环境中.
- 实施VEDMAP可以带来更高效,更透明,更诚信的政策制定和资源分配.
- 进一步采用VEDMAP可以加强医疗技术评估 (HTA) 流程,并在全球范围内推广基于证据的实践.
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