医疗技术评估可以从临床实践指南中学到什么?
Saskia Cheyne1,2, Samantha Chakraborty2, Samara Lewis3
1Faculty of Medicine and Health, University of Sydney, Sydney, NSW, Australia.
Frontiers in pharmacology
|September 11, 2023
概括
对临床实践指南的活跃方法确保持续更新证据. 本视角探讨了将生活指南方法应用于医疗技术评估 (HTA) 进行更好的决策.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 基于证据的医学基于证据的医学.
- 卫生技术评估 卫生技术评估
背景情况:
- 由于证据不断演变,COVID-19大流行突出了快速更新临床指南的需要.
- 一个"生活"的方法涉及不断的识别,评估和综合的指导方针的证据.
- 这种方法确保及时将新研究纳入临床实践.
研究的目的:
- 探索将生活指南方法应用于卫生技术评估 (HTA) 的可行性.
- 确定采用HTA和退款决策的现实方法的机遇和挑战.
- 利用从制定HTA生命周期管理生活指南的经验.
主要方法:
- 借鉴澳大利亚和国际生活指南开发经验.
- 反思生活指南流程对HTA的应用.
- 分析了五个关键主题:证据管理,更新频率,利益相关方参与,报销链接和系统容量.
主要成果:
- 在HTA中采用活式方法在证据管理,更新频率,利益相关方参与,报销和系统容量方面提出了机遇和挑战.
- 在HTA中生活方式的适用性取决于卫生技术,其使用及其当地政策设置.
- 生活指南方法可以管理HTA和退款决策中的证据不确定性.
结论:
- 生活指南方法可适应卫生技术评估 (HTA).
- 活着的方法可以帮助管理HTA和退款决策中的不确定性.
- 持续的证据评估和综合对于动态的医疗保健决策至关重要.
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