Department of Clinical Epidemiology and Biostatistics, Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada.
Expert Rev Pharmacoecon Outcomes Res. 2011 Oct;11(5):513-21. doi: 10.1586/erp.11.60.
Health technology assessment (HTA) adopts a multidisciplinary approach to comprehensively assess safety, efficacy, effectiveness, economic and organizational impact, and any potential social and ethical implications associated with adoption and diffusion of a technology in a healthcare system. Canada was one of the first pioneers in using HTA as a research tool to support evidence-based decision-making. This article describes the current application of HTA in Canada, with a focus on some federal and Ontario initiatives in which the authors have extensive knowledge and experience to illustrate how academic researchers conduct HTA in collaboration with decision makers. Some issues and challenges are also highlighted that will hopefully stimulate a broader discussion among HTA stakeholders to move HTA forward.
健康技术评估（HTA）采用多学科方法，全面评估安全性、疗效、有效性、经济和组织影响，以及在医疗保健系统中采用和推广技术所涉及的任何潜在的社会和伦理影响。加拿大是最早将 HTA 用作研究工具以支持循证决策的国家之一。本文描述了 HTA 在加拿大的当前应用，重点介绍了作者具有丰富知识和经验的一些联邦和安大略省倡议，以说明学术研究人员如何与决策者合作进行 HTA。本文还强调了一些问题和挑战，希望能激发 HTA 利益相关者更广泛的讨论，推动 HTA 的发展。
