使用多标准决策分析开发儿科卫生技术价值评估框架:扩大融资决策的价值透镜
Cindy L Gauvreau1, Leighton Schreyer2, Paul J Gibson3
1Child Health Evaluative Sciences, The Hospital for Sick Children (SickKids) Research Institute, Toronto, ON, Canada.
概括
为了更好地评估儿童健康技术,开发了一个新的框架,即儿童健康技术的综合评估 (CATCH). 这种方法确保在医疗技术评估中系统考虑儿科患者群体的独特需求和情况.
科学领域:
- 医疗技术评估 (HTA) 是指对医疗技术进行评估.
- 儿科健康经济学 儿科健康经济学
- 多标准决策分析 (MCDA) 是指多标准的决策分析.
背景情况:
- 当前的医疗技术评估 (HTA) 往往忽视了儿童和青少年的具体需求和情况.
- 这种差距可能导致儿童医疗保健干预措施的决策不足.
研究的目的:
- 开发适合儿童的价值评估框架,以补充现有的HTA流程.
- 加强在医疗保健评估中对儿科特异性因素的系统考虑.
主要方法:
- 使用多标准决策分析 (MCDA) 方法构建了儿童健康技术综合评估 (CATCH) 框架.
- 一个经过修改的Delphi流程与23个不同的利益相关者精细化了标准和权重.
- 该框架经过了试点测试,并与10名儿童癌症治疗专家进行了验证.
主要成果:
- 德尔菲进程确定了10个关键标准,包括有效性,儿童特定的生活质量,安全,公平和生命发展.
- 飞行员评分精细的标准定义和缩放.
- 验证表明,专家小组的得分与框架的共识一致.
结论:
- 开发的CATCH框架捕捉了儿童特定的健康和非健康方面的重要收益.
- CATCH有可能提高加拿大儿科患者和类似卫生系统的HTA质量和相关性.
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