建议在澳大利亚补贴新医疗技术:对决策者对委员会程序的看法进行定性研究
Marcus Sellars1, Stacy M Carter2, Emily Lancsar1
1Department of Health Economics Wellbeing and Society, National Centre for Epidemiology and Population Health, The Australian National University, Canberra, Australia.
Health policy (Amsterdam, Netherlands)
|December 17, 2023
概括
澳大利亚的医疗技术评估 (HTA) 涉及复杂的决策阶段. 平衡灵活性,保密性和透明度是未来关于新药和新技术的HTA流程的关键.
科学领域:
- 卫生经济学 卫生经济学
- 医疗服务研究 医疗服务研究
- 政策分析 政策分析
背景情况:
- 卫生技术评估 (HTA) 对于在澳大利亚资助新药和医疗技术的决策至关重要.
- 经验丰富的专业人士对HTA流程的洞察力对于理解其复杂性和潜在的改进至关重要.
研究的目的:
- 探索参与澳大利亚医疗技术评估 (HTA) 流程的个人的经验和观点.
- 了解如何制定补贴新药和医疗技术的建议.
主要方法:
- 半结构面试与制药效益咨询委员会 (PBAC) 和医疗服务咨询委员会 (MSAC) 的18名现任或前任成员进行了半结构面试.
- 数据是在2021年9月至2022年2月期间收集的.
- 使用反射主题分析来分析采访成绩单.
主要成果:
- 出现了三个主要主题:技术阶段和决策阶段的区别,避免过于简单的评估的挑战,以及决策中的权衡管理.
- 参与者强调了HTA的复杂性,特别是在处理证据不确定性时.
- 审议决策阶段被认为对于灵活的方法至关重要,它包含了超出可量化的数据的因素,尽管注意到了透明度和隐含考虑方面的挑战.
结论:
- 澳大利亚对HTA流程的持续审查为研究审议灵活性,赞助商保密性和公众对透明度需求之间的平衡提供了机会.
- 需要进行进一步的研究,以优化新药和医疗技术的HTA流程.
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