选择国家卫生技术评估的主题识别,选择和优先考虑:混合研究设计
Julia Bidonde1,2, Vigdis Lauvrak3, Aparna Ananthakrishnan4
1Division of Health Services, Norwegian Institute of Public Health, Skøyen, Postbox 222, 0213, Oslo, Norway.
新兴的医疗技术评估 (HTA) 系统从了解主题识别,选择和优先级 (TISP) 实践中受益. 合作和能力建设是优化TISP以满足当地卫生需求的关键.
科学领域:
- 卫生政策和系统研究 卫生政策和系统研究
- 卫生技术评估 卫生技术评估
- 基于证据的政策制定.
背景情况:
- 对于新兴的医疗技术评估 (HTA) 系统,关于主题识别,选择和优先级 (TISP) 的指南有限.
- 了解当前的TISP流程对于国家开发其HTA框架至关重要.
- 本研究解决了新兴HTA系统的基于证据的TISP指导中的差距.
研究的目的:
- 探索TISP流程和实践的范围,在最近正式的HTA系统的国家.
- 确定TISP与建立新的HTA计划的国家相关的方面.
- 为优化TISP在新兴的HTA环境中提供见解.
主要方法:
- 一种混合方法的方法,结合了系统的文献审查,电子调查和个人采访.
- 系统的文献审查,以确定最近正式制定了HTA系统的国家.
- 对文件,调查答复和面试成绩单进行主题分析,以确定TISP课程.
主要成果:
- 在TISP方法中存在显著的差异,特别是在药物和非药物干预之间.
- TISP主要由政策制定者和专家推动,利益相关者参与较少;地平线扫描不常见.
- 政治意识,制度框架,国家法规和技术能力影响TISP的有效性,合作和能力建设被确定为未来的需求.
结论:
- TISP是HTA的关键初步步骤,需要根据当地需求和相关性确定优先级.
- 在新兴的HTA环境中,有限的TISP能力可以通过本地和国际合作来增强.
- 成功的TISP和HTA需要整合到国家医疗保健优先设定和决策过程中.
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