综合有关非核心领域的相关信息,以支持多标准决策分析 (MCDA) 进行决策
Juan Carlos Bayón-Yusta1,2, Asun Gutiérrez-Iglesias2,3, Lorea Galnares-Cordero1,2
1Basque Foundation for Health Innovation and Research (BIOEF), Barakaldo, Spain.
GMS health innovation and technologies
|April 24, 2024
概括
多标准决策分析 (MCDA) 为医疗保健决策提供了一种结构化的方法,它结合了超出预算影响的伦理,社会和经济因素. 这项研究建议在医疗技术评估中实施MCDA,以便进行更全面的评估.
科学领域:
- 卫生经济学 卫生经济学
- 决策科学 决策科学 决策科学
- 卫生技术评估 卫生技术评估
背景情况:
- 医疗保健决策往往优先考虑经济因素和预算影响.
- 评估卫生技术的全部价值需要一个更广泛的,多维的方法.
- 现有的医疗技术评估 (HTA) 方法可能无法完全捕捉非经济标准.
研究的目的:
- 建议将非核心领域分析整合到卫生技术评估 (HTA) 报告中.
- 系统地审查和分类用于医疗技术评估的非核心标准.
- 发展关于医疗保健决策的基本标准的共识.
主要方法:
- 对科学证据的系统文献综述多标准决策分析 (MCDA) 技术的科学证据.
- 使用名义小组技术与各种医疗保健利益相关者举行共识小组会议.
- 调查分发给HTA机构,以评估当前的MCDA实施情况.
主要成果:
- 一项系统性审查确定了216个跨社会经济,组织,法律,环境和道德领域的非核心标准.
- 一个共识小组定义了医疗保健决策的26个基本标准,强调对所有领域的平衡考虑.
- 该研究发现,在HTA机构中,MCDA的实施方式各不相同.
结论:
- 多标准决策分析 (MCDA) 为提高医疗技术评估 (HTA) 的全面性提供了一个有价值的框架.
- 纳入广泛的非核心标准导致更强大和基于价值的医疗保健决策.
- 一种以共识为导向的方法可以建立一个标准化的标准,用于系统的医疗保健评估.
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