用于综合卫生技术评估中的定性证据的映射框架
Marilia Mastrocolla de Almeida Cardoso1,2, Rafael Thomaz Marques3, Juliana Machado-Rugolo4
1Hospital das Clinicas Botucatu, Botucatu, Brazil.
International journal of technology assessment in health care
|November 13, 2024
概括
医疗技术评估 (HTA) 越来越多地使用定性证据综合框架. 本研究绘制了这些框架,确定了主题综合和CASP作为共同的工具,以改善决策.
科学领域:
- 医疗技术评估 (HTA) 是指对医疗技术进行评估.
- 定性证据综合 定性证据综合
- 卫生研究方法 方法 卫生研究方法
背景情况:
- 卫生技术评估 (HTA) 从业者重视评估技术可行性,意义性,可接受性和公平性的定性方法.
- 需要了解在HTA中如何合成定性证据并评估其质量.
研究的目的:
- 将用于合成HTA中的定性证据的框架映射出来.
- 评估HTA内部定性证据综合的质量.
主要方法:
- 在多个数据库 (Medline,Embase,Web of Science等) 进行了全面的绘图. 和灰色文学的来源.
- 纳入标准侧重于与HTA相关的全球定性证据综合框架.
- 数据被提取并系统地呈现,可能是如上所示的表格格式.
主要成果:
- 在2054篇文章中,包括31篇,主要来自欧洲,作者来自HTA机构和大学.
- 主题综合是主要的分析方法,批判性评估技能计划 (CASP) 是主要的质量评估工具.
- SPICE是一个经常引用的缩写,RETREAT是选择方法的首选,GRADE-CERQual用于分级证据合成.
结论:
- 该研究强调了使用特定框架将定性证据纳入HTA的日益增长的趋势.
- 虽然存在相似之处,但许多框架只解决了定性证据合成过程的一部分.
- 标准化这些程序对于加强HTA实践中的决策至关重要.
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