将环境方面纳入卫生技术评估:在荷兰利益相关者中进行的定性研究
Rhiannon C Reising1, Mohamed El Alili2, Merel L Kimman1
1Department of Clinical Epidemiology and Medical Technology Assessment, https://ror.org/02d9ce178Maastricht University Medical Centre, Maastricht, Limburg, The Netherlands.
International journal of technology assessment in health care
|October 6, 2025
概括
将环境影响纳入医疗保健技术评估 (HTA) 对于可持续实践至关重要. 利益相关者更喜欢综合或并行评估,但面临着数据缺口和指导方针缺乏等挑战.
科学领域:
- 医疗技术评估 (HTA) 是指对医疗技术进行评估.
- 环境健康 环境健康
- 可持续的医疗保健 可持续的医疗保健
背景情况:
- 荷兰国家医疗保健研究所 (ZIN) 评估医疗保健的好处,但不包括环境影响.
- 有几种方法可以将环境考虑纳入HTA,但它们的适当性尚不清楚.
- 了解利益相关者的观点对于有效的整合至关重要.
研究的目的:
- 探讨荷兰利益相关者关于将环境影响纳入HTA的观点.
- 确定在HTA中环境整合的首选方法和挑战.
主要方法:
- 定性研究涉及一个焦点小组与ZIN成员 (n=7).
- 与HTA,市场准入和报销专家进行的个人采访 (n=7).
- 对转录的采访进行主题分析.
主要成果:
- 利益相关者强调了环境影响的重要性,包括制药污染,温室气体排放和废物.
- 优选的是综合和并行评估方法.
- 确定的主要障碍包括数据缺口,方法复杂性和缺乏明确的指导方针.
结论:
- 将环境影响纳入HTA对于促进可持续医疗保健至关重要.
- 制定明确的指导方针,改善数据的可用性和加强利益相关者的合作是必要的.
- 这种整合支持向环境负责任的医疗保健实践过渡.
相关概念视频
01:21Dimensions of Health and Illness
10.5K
The factors influencing the health-illness continuum can be internal or external and may or may not be under conscious control. They are related to the following eight human dimensions, and each dimension is interrelated to one other.
10.5K
01:15Bioavailability Study Design: Healthy Subjects Versus Patients
143
Bioavailability studies are essential for evaluating a drug's therapeutic efficacy and understanding its absorption patterns under various physiological conditions. Conducting such studies on target patient populations provides more relevant data by simulating real-world disease states. However, practical challenges often necessitate the use of young, healthy adult volunteers as study subjects.Patients may exhibit altered drug absorption patterns due to the effects of the disease itself,...
143