生命周期HTA:有前途的应用程序和实施框架. 一份HTAi全球政策论坛工作组的报告
Franz B Pichler1, Meindert Boysen2, Nicole Mittmann3
1Confluence Health Consulting, Sydney, NSW, Australia.
概括
一个新的生命周期健康技术评估 (LC-HTA) 框架被开发出来,以指导对不断发展的健康技术的决策. 这种系统的方法确保证据在技术的整个生命周期中保持相关性.
科学领域:
- 医疗技术评估 (HTA) 是指对医疗技术进行评估.
- 卫生政策 卫生政策
- 生命周期管理 生命周期管理
背景情况:
- 国际卫生技术评估 (HTAi) 全球政策论坛 (GPF) 确定了对生命周期HTA (LC-HTA) 的立场声明和框架的需要.
- 现有的HTA流程可能无法充分应对不断变化的证据或背景的技术.
- 通过一个专门的特别工作组,收集了多个利益相关者的意见.
研究的目的:
- 制定生命周期健康技术评估 (LC-HTA) 的工作定义和高级框架.
- 确定LC-HTA为HTA机构和利益相关者提供重大价值的关键场景.
- 为实现LC-HTA的运行奠定了基础.
主要方法:
- 在HTAiGPF下召开一个多利益相关者工作组.
- 每月举行讨论,并纳入GPF成员的意见.
- 制定定义,确定关键场景,并为LC-HTA创建一个高级框架.
主要成果:
- 建立了LC-HTA的工作定义:一个系统的过程,使用连续的HTA活动来发展证据,技术或环境.
- 确定了四个关键场景,其中LC-HTA提供了相当大的价值.
- 开发了一个高级LC-HTA框架,包括决策问题定义,HTA活动的顺序和优化标准.
结论:
- 开发的LC-HTA框架和定义为管理整个生命周期的卫生技术提供了一个结构化的方法.
- 在特定场景中,LC-HTA是有价值的,这证明了HTA机构的资源投资.
- 对LC-HTA的操作指南已在附带文件中开发出来.
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