印度参考案例的发展,用于开展医疗技术评估的经济评估
Deepshikha Sharma1, Shankar Prinja1, Arun K Aggarwal1
1Department of Community Medicine and School of Public Health, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.
一个新的印度参考案例标准化了印度卫生技术评估 (HTA) 的经济评估. 这旨在提高健康经济证据的质量和政策使用.
科学领域:
- 卫生经济学 卫生经济学
- 卫生技术评估 卫生技术评估
- 基于证据的政策.
背景情况:
- 卫生技术评估 (HTA) 对于全球基于证据的决策至关重要.
- 在HTA中的方法异质性阻碍了对证据的一致使用.
- 印度需要标准化的经济评估方法.
研究的目的:
- 为在印度进行经济评估制定一套标准化指导方针.
- 建立卫生技术评估的印度参考案例.
- 提高印度经济评估的质量和政策相关性.
主要方法:
- 采用了四个步骤的过程:审查国际指导方针,系统审查经济评估,经验分析假设和利益相关方商.
- 系统地审查了三个国家的国际HTA指南和经济评估.
- 经验分析评估了不同假设对成本效益分析结果的影响.
- 与利益相关者进行了商,以完善针对印度环境的建议.
主要成果:
- 印度参考案例提供了12个建议,涵盖了经济评估的11个关键原则.
- 关键原则包括决策问题,比较器,视角,成本测量,健康结果,时间地平线,折扣,异质性,不确定性,公平性和结果呈现.
- 这些建议旨在使其易于使用,并允许特定环境的灵活性.
结论:
- 预计印度参考案例将指导印度经济评估的规划,进行和报告.
- 坚持参考案例预计将提高未来评估的质量和政策利用率.
- 随着健康经济学的进步,印度参考案例的持续改进将是必要的.
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