导航变化:对跨机构的卫生技术评估改革进行比较分析 - 流程,驱动因素和相互依赖
Gayathri Kumar1, Priscila Radu1, Patricia Cubi-Molla1
1OHE - Office of Health Economics, London, UK.
概括
医疗技术评估 (HTA) 改革是由国际实践,国家背景和内部挑战驱动的. 通过广泛的利益相关者参与,国际合作可以加速HTA的发展.
科学领域:
- 卫生政策 卫生政策
- 卫生经济学 卫生经济学
- 医疗服务研究 医疗服务研究
背景情况:
- 卫生技术评估 (HTA) 对全球医疗保健决策至关重要.
- 在HTA方法和流程的变化影响患者获得新的治疗方法.
- 现有的文献往往忽略了HTA机构实践的历史演变.
研究的目的:
- 调查不同地区的关键医疗技术评估 (HTA) 改革.
- 探索这些HTA改革的驱动因素和相互依存关系.
- 了解HTA方法和流程的时间演变.
主要方法:
- 针对14个机构对HTA方法和流程 (M&P) 准则进行了有针对性的文献审查.
- 补充文献综述与29个半结构化采访与特定国家的专家.
- 利用分析工具进行流程映射,网络分析和机构集群.
主要成果:
- 卫生技术评估改革过程在各机构都有类似的步骤.
- 关键驱动因素包括国际HTA实践,国家政策/法律/政治背景以及内部评估挑战.
- 国际合作显示出加速HTA系统演变和改革实施的潜力.
结论:
- 确定有影响力的HTA机构 (PBAC,CDA-AMC,NICE,IQWiG,ZIN) 作为改革催化剂.
- 国际合作可以加速HTA的变化.
- 早期和广泛的利益相关者参与对于在HTA改革中成功开展国际合作至关重要.
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