向埃塞俄比亚的HTA制度化:使用政治经济分析来探索利益相关者的观点和评估能力需求
Daniel Asfaw Erku1,2,3, Ararso Desalegn4, Tesfaye Mesele Mekonnen5
1Health Economics and Financing, Global Health Systems Innovation, Management Sciences for Health, Arlington, VA, USA.
概括
埃塞俄比亚 埃塞俄比亚 埃塞俄比亚
科学领域:
- 医疗技术评估 (HTA) 是指对医疗技术进行评估.
- 卫生政策和系统研究 卫生政策和系统研究
- 在医疗保健中确定优先级
背景情况:
- 埃塞俄比亚追求高效的资源利用和全民健康覆盖 (UHC) 需要制度化卫生技术评估 (HTA).
- 战略性卫生采购是推动UHC的关键机制.
- 了解HTA的政治经济和优先设定对于系统开发至关重要.
研究的目的:
- 确定参与埃塞俄比亚HTA和优先设置的关键利益相关者.
- 分析影响HTA制度化的政治经济.
- 评估现有的能力和技能,以建立可持续的HTA系统.
主要方法:
- 混合方法方法结合了关键信息人采访 (n=16),文档审查 (n=24) 和横截面调查 (n=65).
- 利用了沃尔特和吉尔森的政策分析三角形和坎波斯和赖克的框架.
- 评估了影响HTA制度化的背景,过程,内容和行为者.
主要成果:
- 对HTA的普遍承诺存在,但由于重叠的机构任务和潜在的冲突,制度化面临挑战.
- 专业协会,患者和公众在HTA过程中的有限参与.
- 持续存在的挑战包括有限的HTA专业知识,高员工流动和无效的能力建设努力.
结论:
- 成功的HTA制度化需要管理机构间的动态,并建立一个明确的法律框架.
- 一个包容和透明的HTA过程是必不可少的.
- 建立当地能力和确保可持续的国内资金对于一个强大的HTA系统至关重要.
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