制定伊朗卫生技术评估的国家框架:一种混合方法的德尔菲共识研究
Meysam Behzadifar1, Ahad Bakhtiari2, Saeed Shahabi3
1Social Determinants of Health Research Center, Lorestan University of Medical Sciences, Khorramabad, Iran (the Islamic Republic of).
BMJ open
|December 15, 2025
概括
为了改善基于证据的医疗保健决策和资源分配,为伊朗制定了一项新的卫生技术评估 (HTA) 框架. 该框架包括九个核心组成部分,在专家中达到了84%的共识.
科学领域:
- 卫生政策和系统研究 卫生政策和系统研究
- 卫生技术评估 卫生技术评估
- 基于证据的实践.
背景情况:
- 医疗保健决策需要强大的证据利用框架.
- 优化资源配置对于实现全民健康覆盖至关重要.
- 伊朗的医疗保健系统需要对健康技术评估 (HTA) 采取特定背景的方法.
研究的目的:
- 为伊朗制定一个定制的卫生技术评估 (HTA) 框架.
- 加强伊朗医疗保健系统的基于证据的决策.
- 支持资源优化和实现全民健康覆盖的进展.
主要方法:
- 采用了混合方法的德尔菲共识研究.
- 该研究涉及文档审查,焦点小组讨论和代的Delphi轮.
- 参与者包括18名利益相关者和20名HTA专家.
主要成果:
- 制定了一个由九个组成部分组成的HTA框架,涵盖了从建立国家HTA机构到促进创新的各个方面.
- 对每个组件定义了详细的操作步骤和微型活动.
- 该框架在Delphi小组成员中达到了84%的共识.
结论:
- 开发的HTA框架为伊朗的基于证据的决策制度化提供了一个结构化的路线图.
- 实施可以改善医疗保健规划,政策效率,公平性和可持续性.
- 建议进行试点测试,并有可能在其他低收入和中等收入国家进行适应.
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