完整的卫生技术评估报告中的伦理领域:试图开始绘制现场地图
Hannes Kahrass1, Antje Schnarr1, Clovis Mariano Faggion2
1Institute for Ethics, History and Philosophy of Medicine, Hannover Medical School, Hannover, Germany.
概括
这项研究探讨了完整的健康技术评估 (HTA) 报告,重点关注道德考虑. 它强调了元研究的挑战,并提供了对HTA报告特征的见解.
科学领域:
- 医疗技术评估 (HTA) 是指对医疗技术进行评估.
- 超级研究的研究.
- 医疗保健中的伦理分析
背景情况:
- 卫生技术评估 (HTA) 报告为医疗保健决策提供了临床有效性,安全性,成本以及更广泛的伦理,法律,社会和组织方面的信息.
- 在完整的HTA报告中处理伦理方面是一个有争议的领域,在绘制现有的方法和出版物方面存在困难.
- 现有的国际HTA注册表无法提供完整的HTA报告的全面概述,这阻碍了深入的现场分析.
研究的目的:
- 探索有关道德方面的完整HTA报告中可用的实质信息,确定什么是容易获得的,而什么需要大量的努力或仍然无法获得.
- 评估在完整的HTA报告领域进行有意义的元研究的方法可行性,特别是关于伦理领域.
- 了解谁发布完整的HTA报告,他们的方法,以及与伦理考虑有关的调查结果的性质.
主要方法:
- 采用了一种元研究方法来探索完整的HTA报告的风景.
- 分析的重点是确定和检查来自六个不同国家的39份完整的HTA报告.
- 该研究旨在确定信息的可访问性和在这个领域进行系统审查的潜力.
主要成果:
- 来自6个国家的39份完整的HTA报告被成功跟踪和分析.
- 该研究确定了编制综合样本的重大挑战,表明了当前HTA报告注册表的局限性.
- 获得了对这些报告特征的初步见解,特别关注处理伦理方面的方法.
结论:
- 分析虽然不是完全代表性的,但表明了对完整的HTA报告进行元研究所固有的可能性和挑战.
- 关于HTA报告的特点和处理伦理考虑所使用的方法,获得了大量的见解.
- 需要进一步的研究来克服当前的局限性,并使在这个领域更全面的元分析.
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