全球患者参与卫生技术评估系统的比较分析:趋势和实践
Marcos Puebla1, Luis Korrodi-Gregório1, Luca Trentin2
1Alira Health SLU, Barcelona, Spain.
Frontiers in public health
|November 17, 2025
概括
在56个全球系统中,患者参与卫生技术评估 (HTA) 显著不同. 虽然许多HTA机构涉及患者,但参与的深度往往有限,突出了改善的机会.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 卫生政策 卫生政策
- 患者参与 患者参与
背景情况:
- 卫生技术评估 (HTA) 对医疗保健决策至关重要.
- 越来越多地认识到患者参与HTA提高了透明度和合法性.
- 目前患者参与HTA的做法存在很大差异,范围往往有限.
研究的目的:
- 根据患者参与水平,在全球范围内比较和排名56个健康技术评估 (HTA) 系统.
- 通过开发的评分框架,量化整个HTA过程中的患者参与度.
- 为全球的HTA提供当前患者参与的基准.
主要方法:
- 对五个地区的56个HTA系统进行了比较分析.
- 开发了一个新的评分框架来衡量患者参与度.
- 每个HTA系统的公开可用的数据都使用分数框架进行了分析.
主要成果:
- 患者参与在许多HTA系统中存在,但差异很大.
- 在大多数系统中,患者参与HTA流程的程度往往是适度的.
- 一些HTA系统比其他系统表现出更积极和更全面的患者参与.
结论:
- 这项研究提供了第一个大规模量化和对HTA系统患者参与的比较.
- 调查结果为决策者,医疗保健专业人员和患者提供了关于当前参与水平的宝贵见解.
- 鉴定的变异突出了加强和标准化患者参与卫生技术评估的机会.
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