Finnish Office for Health Technology Assessment, National Institute for Health and Welfare, P.O. Box 30, 00271 Helsinki, Finland.
Int J Technol Assess Health Care. 2009 Dec;25 Suppl 2:9-20. doi: 10.1017/S0266462309990638.
The aim of this study was to develop and test a generic framework to enable international collaboration for producing and sharing results of health technology assessments (HTAs).
Ten international teams constructed the HTA Core Model, dividing information contained in a comprehensive HTA into standardized pieces, the assessment elements. Each element contains a generic issue that is translated into practical research questions while performing an assessment. Elements were described in detail in element cards. Two pilot assessments, designated as Core HTAs were also produced. The Model and Core HTAs were both validated. Guidance on the use of the HTA Core Model was compiled into a Handbook.
The HTA Core Model considers health technologies through nine domains. Two applications of the Model were developed, one for medical and surgical interventions and another for diagnostic technologies. Two Core HTAs were produced in parallel with developing the model, providing the first real-life testing of the Model and input for further development. The results of formal validation and public feedback were primarily positive. Development needs were also identified and considered. An online Handbook is available.
The HTA Core Model is a novel approach to HTA. It enables effective international production and sharing of HTA results in a structured format. The face validity of the Model was confirmed during the project, but further testing and refining are needed to ensure optimal usefulness and user-friendliness. Core HTAs are intended to serve as a basis for local HTA reports. Core HTAs do not contain recommendations on technology use.
本研究旨在开发和测试一个通用框架,以促进国际合作,生成和共享健康技术评估(HTA)的结果。
十个国际团队构建了 HTA 核心模型,将综合 HTA 中的信息划分为标准化的部分,即评估要素。每个要素包含一个通用问题,在进行评估时将其转化为实际的研究问题。要素在要素卡中进行了详细描述。还生成了两个试点评估,指定为核心 HTA。对模型和核心 HTA 都进行了验证。关于使用 HTA 核心模型的指南被编制成了手册。
HTA 核心模型通过九个领域来考虑医疗技术。模型有两个应用,一个用于医疗和手术干预,另一个用于诊断技术。在开发模型的同时并行生成了两个核心 HTA,为模型的进一步开发提供了首次真实测试和输入。正式验证和公众反馈的结果主要是积极的。还确定并考虑了开发需求。一个在线手册可供使用。
HTA 核心模型是一种新颖的 HTA 方法。它以结构化的格式实现了有效的国际 HTA 成果的生成和共享。在项目过程中,模型的表面有效性得到了确认,但需要进一步测试和完善,以确保最佳的有用性和用户友好性。核心 HTA 旨在作为本地 HTA 报告的基础。核心 HTA 不包含关于技术使用的建议。