Technische Universität Berlin.
Int J Technol Assess Health Care. 2011 Jul;27(3):224-9. doi: 10.1017/S0266462311000237.
Gender as a social construct is a recognized health determinant. Because best practice in reporting health technology assessment (HTA) clearly specifies the need to appraise a technology's social impact within the target population, the extent to which gender issues are taken into account in HTA production is of interest, not only in light of equitable practices but also for reasons of effectiveness. The aim of this study is to provide a first assessment of the degree of gender sensitivity shown by HTA agencies around the world today.
The Web sites of sixty HTA agencies were analyzed. The consideration of gender aspects was specifically looked for in each agency's general mission statement, its priority setting process, and its methodological approach. Additionally, specific gender-oriented initiatives not belonging to any of the aforementioned categories were identified.
Of the sixty agencies, less than half mention a commitment to addressing the social implication of health technologies. Only fifteen institutions make information on their priority setting principles available on their Web sites and gender was an issue in two of those cases. Data on methodology were obtainable online from 18 agencies, two of which mentioned gender issues explicitly. Finally, gender-oriented initiatives were identified by thirteen agencies.
A gender-sensitive approach is apparently rarely adopted in current HTA production. Exceptional practices and relevant tools do exist and could serve as examples to be promoted by international collaborative networks.
性别是一种社会建构，是一个公认的健康决定因素。由于报告卫生技术评估（HTA）的最佳实践明确规定需要评估技术在目标人群中的社会影响，因此，在 HTA 制作中考虑性别问题的程度不仅与公平实践有关，而且与有效性有关。本研究旨在首次评估全球 HTA 机构在多大程度上具有性别敏感性。
分析了 60 个 HTA 机构的网站。在每个机构的总体使命陈述、其优先级设置过程及其方法学方法中，特别寻找性别方面的考虑。此外，还确定了不属于上述任何类别的特定面向性别的举措。
在 60 家机构中，不到一半的机构提到承诺解决卫生技术的社会影响问题。只有 15 家机构在其网站上提供有关其优先级设置原则的信息，其中只有两家机构在这两种情况下将性别问题作为一个问题。有 18 家机构可以在线获得有关方法的数据，其中两家明确提到了性别问题。最后，13 家机构确定了面向性别的举措。
显然，在当前的 HTA 制作中，很少采用对性别敏感的方法。存在例外做法和相关工具，可以作为国际合作网络推广的范例。
