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快速卫生技术评估的影响初步调查

A preliminary survey on the influence of rapid health technology assessments.

作者信息

Hailey David

机构信息

Institute of Health Economics, Edmonton, Alberta, Canada.

出版信息

Int J Technol Assess Health Care. 2009 Jul;25(3):415-8. doi: 10.1017/S0266462309990067.

Abstract

OBJECTIVES

The aim of this study was to obtain information on rapid health technology assessments (HTAs) prepared by members of the International Network of Agencies for Health Technology Assessment (INAHTA).

METHODS

A questionnaire was prepared, drawing on earlier INAHTA documents for recording HTA impact. A request for responses was sent to member agencies, seeking information on rapid HTA reports prepared during 2006.

RESULTS

Responses were provided on fifteen rapid HTAs, which covered both new and widely distributed technologies. The most common purpose for the HTAs (n = 8) was to inform coverage decisions, but other reasons included capital funding, formulary decisions, referral for treatment, program operation, guideline formulation, influence on routine practice, and indications for further research. All the rapid HTAs were considered by the agencies to have had some influence. The most common indications of influence were consideration by the decision maker, use of the HTA as reference material (both n = 10), and acceptance of recommendations or conclusions (n = 8).

CONCLUSIONS

Rapid HTAs are used for a broad range of technologies, to inform several types of decision, and are effective in informing the decision-making process. Supplementation of their findings by further assessments will be appropriate in some cases.

摘要

目的

本研究旨在获取国际卫生技术评估机构网络(INAHTA)成员所编写的快速卫生技术评估(HTA)的相关信息。

方法

根据INAHTA早期文件编制了一份问卷,用于记录HTA的影响。向成员机构发送了回复请求,以获取有关2006年期间编写的快速HTA报告的信息。

结果

收到了关于15项快速HTA的回复,这些评估涵盖了新技术和广泛应用的技术。HTA最常见的目的(n = 8)是为覆盖范围决策提供信息,但其他原因包括资本资金、处方集决策、治疗转诊、项目运营、指南制定、对常规实践的影响以及进一步研究的指征。各机构认为所有快速HTA都产生了一定影响。最常见的影响指征是决策者的考虑、将HTA用作参考资料(均为n = 10)以及接受建议或结论(n = 8)。

结论

快速HTA适用于广泛的技术,为多种类型的决策提供信息,并且在为决策过程提供信息方面是有效的。在某些情况下,通过进一步评估补充其结果将是合适的。

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