开发和实施快速医疗技术评估报告的价值框架:在资源有限的环境中加强基于证据的决策
Andrea Alcaraz1, Fernando Argento1, Veronica Alfie1
1Health Technology Assessment and Economic Evaluation Department, https://ror.org/02nvt4474Institute for Clinical Effectiveness and Health Policy, Buenos Aires, Argentina.
概括
这项研究开发了一个价值框架 (VF),以指导低资源环境中的健康技术评估. VF帮助基于证据的医疗保健覆盖决策,证明在阿根廷等国家快速评估的实用性.
科学领域:
- 卫生经济学 卫生经济学
- 卫生技术评估 卫生技术评估
- 基于证据的医学基于证据的医学.
背景情况:
- 价值框架对于医疗保健决策至关重要,特别是在低收入和中等收入国家 (LMIC).
- 弥合健康证据和政策实施之间的差距需要强大的工具.
- 快速健康技术评估 (rHTA) 报告从结构化价值评估中受益.
研究的目的:
- 开发一个新的价值框架 (VF),用于rHTA的覆盖范围建议.
- 在LMIC背景下评估VF的前五年实施情况.
- 在资源有限的医疗保健机构中,加强基于证据的决策.
主要方法:
- 广泛的文献搜索确定了现有的价值框架及其维度.
- 用一种混合方法的方法,包括Delphi小组,来开发和权衡VF标准.
- 通过分析2017年至2022年264份rHTA报告来评估实施情况.
主要成果:
- 开发的VF包括三个领域:证据质量,净收益和经济影响.
- 为复杂的经济影响领域创建了一个特设方法.
- 对265个HTA的分析表明,大多数建议是关于药物或治疗程序的,其中很大一部分是不利或不确定的.
结论:
- 该价值框架对rHTA具有多样性和实用性,支持基于证据的决策.
- 这个VF促进了适应性rHTA,并帮助阿根廷和类似的LMIC环境中的决策过程.
- 该框架的实施证明了其在资源有限的医疗保健系统中的实用性.
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