O'Reilly Daria, Campbell Kaitryn, Goeree Ron
Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Canada.
Methods Mol Biol. 2009;473:263-83. doi: 10.1007/978-1-59745-385-1_16.
This chapter begins with a brief introduction to health technology assessment (HTA). HTA is concerned with the systematic evaluation of the consequences of the adoption and use of new health technologies and improving the evidence on existing technologies. The objective of mainstream HTA is to support evidence-based decision and policy making that encourage the uptake of efficient and effective health care technologies. This chapter provides a basic framework for conducting an HTA, as well as some fundamental concepts and challenges in assessing health technologies. A case study of the assessment of drug-eluting stents in Ontario is presented to illustrate the HTA process. Whether HTA is beneficial (supporting timely access to needed technologies) or detrimental depends on three critical issues: when the assessment is performed, how it is performed, and how the findings are used.
本章首先简要介绍卫生技术评估（HTA）。卫生技术评估关注对新卫生技术采用和使用后果的系统评价，以及完善现有技术的证据。主流卫生技术评估的目标是支持基于证据的决策和政策制定，以鼓励采用高效且有效的医疗保健技术。本章提供了开展卫生技术评估的基本框架，以及评估卫生技术方面的一些基本概念和挑战。文中呈现了安大略省药物洗脱支架评估的案例研究，以说明卫生技术评估过程。卫生技术评估是有益的（支持及时获得所需技术）还是有害的，取决于三个关键问题：评估何时进行、如何进行以及评估结果如何使用。
