克服医院医疗技术评估 (HB-HTA) 的障碍:国际专家小组共识共识
Iga Lipska1,2,3, Rossella Di Bidino4,5, Maciej Niewada6
1Health Policy Institute, 00-819 Warsaw, Poland.
Healthcare (Basel, Switzerland)
|May 10, 2024
概括
实施医院医疗技术评估 (HB-HTA) 面临的挑战包括缺乏正式认可和有限的人力资源. 在促进者基础上,可以帮助在国际上整合HB-HTA战略.
科学领域:
- 卫生政策 卫生政策
- 卫生技术评估 卫生技术评估
- 医疗保健管理的管理
背景情况:
- 医院医疗技术评估 (HB-HTA) 在医疗保健决策中起着至关重要的作用.
- 了解实施促进者和障碍是有效HB-HTA整合的关键.
研究的目的:
- 调查实施医院医疗技术评估 (HB-HTA) 的常见促进因素和障碍.
- 收集来自七个不同国家的HTA专家的见解.
主要方法:
- 一项为期两轮的德尔菲研究,涉及15名HTA专家.
- 专家们审查了国家HB-HTA的实施情况,确定了障碍/促进因素,并使用利克尔特级别对它们进行了排名.
- 共识被定义为中位数达成一致的得分≥6和四分位数间范围 (IQR) ≤1.
主要成果:
- 在12项关于障碍和促进因素的声明中,就6项达成共识.
- 发现的关键外部障碍是缺乏在立法中正式承认HB-HTA.
- 主要的内部障碍是HB-HTA专门的人力资源的有限可用性.
结论:
- 医院医疗技术评估 (HB-HTA) 需要进一步发展以获得广泛的正式接受和整合.
- 利用已识别的促进因素可以支持实施国际战略,以加强HB-HTA实践.
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