选择和优先考虑医疗器械的HTA评估:现有方法的系统审查
João Félix Pimenta1, Ana C L Vieira2
1CEGIST, Instituto Superior Técnico, Universidade de Lisboa, Lisboa, Portugal.
Applied health economics and health policy
|June 7, 2025
概括
对于医疗技术评估 (HTA) 的医疗器械选择和优先考虑缺乏通用方法. 多标准决策分析是常见的,但报告需要提高透明度.
科学领域:
- 卫生技术评估 卫生技术评估
- 医疗器械评估 医疗器械评估
- 资源分配 资源分配
背景情况:
- 高效的医疗技术评估 (HTA) 需要强大的医疗器械选择和优先级.
- 目前还没有一种标准化的方法来优先考虑医疗设备.
- 需要对可适应的优先级设置方法进行全面审查.
研究的目的:
- 对现有的选择和优先考虑HTA医疗器械的方法进行全面审查.
- 确定和分析适合HTA优先级的方法.
主要方法:
- 搜索了PubMed,科学网,Scopus和HTA机构的数据库.
- 根据出版年,决策背景,方法和利益相关者的参与,分析了51项符合条件的研究.
- 专注于使用的价值评估技术和社会方法.
主要成果:
- 在报告价值评估的31项研究中,多标准决策分析 (MCDA) 是主要的方法 (77%).
- 关键属性包括临床疗效,疾病影响以及伦理/社会/法律方面.
- 问卷/调查和德尔菲技术是常见的社会方法.
结论:
- 在HTA中优先考虑医疗设备的普遍接受的方法仍然不存在.
- 经常使用MCDA,考虑干预和疾病属性.
- 不一致的方法报告阻碍了透明度和可复制性.
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