卫生技术再评估和撤资工具:一个范围审查
David Aluga1, Shibu Shrestha2, Claire Gorry3,4
1Discipline of Public Health and Primary Care, Institute of Population Health, School of Medicine, Trinity College Dublin, Dublin, Ireland. alugad@tcd.ie.
Health research policy and systems
|January 20, 2026
概括
本次审查确定了卫生技术再评估 (HTR) 和退出投资的工具. 改进的HTR模型需要更加关注可持续性和利益相关者参与,以便有效地做出撤资决策.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 卫生技术评估 卫生技术评估
- 卫生经济学 卫生经济学
背景情况:
- 医疗技术评估 (HTA) 对于评估新技术至关重要,影响报销和市场准入.
- 随着时间的推移,技术价值可能会下降,因此需要对撤资决策进行重新评估.
- 关于医疗技术再评估 (HTR) 和撤资工具的现有证据需要综合.
研究的目的:
- 进行范围审查,综合对HTR和撤资决策工具的证据.
- 确定一个合适的HTR和撤资模型的关键元素.
主要方法:
- 由乔安娜·布里格斯研究所 (JBI) 的方法指导,并使用PRISMA-ScR指南进行报告.
- 在EMBASE,Medline,CINAHL,Web of Science和Google Scholar中使用关键词搜索英语研究:"工具"",撤资"",卫生技术重新评估".
- 包括来自HTAi,ISPOR和INAHTA的灰色文献;数据进行了叙事合成.
主要成果:
- 包括来自9个国家的19项研究,主要来自高收入国家,有正式的HTA流程.
- 四个提议的HTR/撤资框架已经得到验证;可持续性报告不足,仅在三项研究中考虑.
- 显著关注加拿大研究 (九项研究).
结论:
- 综合了HTR工具的证据,并将属性映射到一个概念框架中.
- 更加重视可持续性和持续的利益相关者参与,可以加强撤资框架的实施.
- 需要将模型与当地环境联系起来,并超越HTA流程.
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