影响5个欧洲国家的HTA审议过程的隐性因素:混合方法研究的结果
Clara Monleón1, Hans Martin-Späth1, Carlos Crespo2
1Health Systemic Process, EA 4129 Research Unit, University Claude Bernard Lyon 1, University of Lyon, Lyon, France.
Health policy OPEN
|December 11, 2023
概括
隐性因素影响欧洲卫生技术评估 (HTA) 决策. 这项研究确定了这些因素,并建议提高透明度和方法,以减轻它们对HTA决策过程的影响.
科学领域:
- 卫生政策 卫生政策
- 卫生经济学 卫生经济学
- 决策分析 决策分析
背景情况:
- 欧洲卫生技术评估 (HTA) 机构使用明确的决策标准.
- 不被承认的隐性因素显著影响HTA决策过程.
- 这项研究解决了理解这些隐性因素的差距.
研究的目的:
- 在五个欧洲国家的HTA审议过程中识别隐含因素.
- 分析这些隐性因素对HTA决策的影响.
- 为HTA审议过程提出改进建议.
主要方法:
- 采用混合方法方法,结合定性和定量数据.
- 与来自法国,德国,意大利,西班牙和英国的20名HTA专家进行了半结构化采访.
- 专家评价了事先识别的隐性因素的影响,并提供了建议.
主要成果:
- 一个强大的共识 (18/20专家) 证实了隐性因素在HTA审议中的作用.
- 改善流程的关键建议包括提高透明度,改进方法,增加利益相关者的参与.
- 发现隐性因素对HTA决策产生重大影响.
结论:
- 显然需要承认和解决HTA中隐含的因素.
- 建议包括增加对HTA的外部参与,并制定方法来减轻隐性因素的影响.
- 更新当前的HTA框架和开发新的方法对于更强大的审议过程至关重要.
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