Galician Regional Health Authority.
Int J Technol Assess Health Care. 2012 Jul;28(3):285-93. doi: 10.1017/S0266462312000232.
When a new health technology has been approved by a health system, it is difficult to guarantee that it is going to be efficiently adopted, adequately used, and that effectiveness, safety, and consumption of resources and costs are in line with what was expected in preliminary investigations. Many governmental institutions promote the idea that efficient mechanisms should be established aimed at developing and incorporating continuous evidence into health technologies management. The purpose of this article is to stimulate the discussion on systematic post-introduction observation of health technologies.
Literature review and input of HTA experts.
The study addresses the key issues related to post-introduction observation and presents a summary of the guide commissioned by the Spanish Ministry of Health, Social Policy and Equality to the Galician HTA agency for the prioritization and implementation of systematic post-introduction observation in Spain. The manuscript describes the prioritization tool developed as part of this project and discusses the main aspects of protocol development, observation implementation, and assessment of results.
The observation of prioritized health technologies after they are introduced in standard clinical practice can provide useful information for health organizations. However, implementing the observation of health technologies can require specific policy frameworks, commitment from different stakeholders, and dedicated funding.
当一种新的卫生技术已被卫生系统批准，很难保证它将被有效地采用、充分利用，并且有效性、安全性以及资源和成本的消耗与初步调查中的预期相符。许多政府机构提倡建立旨在开发和纳入卫生技术管理中持续证据的有效机制的理念。本文旨在激发对卫生技术引入后观察的系统讨论。
文献回顾和 HTA 专家的意见。
本研究探讨了引入后观察的关键问题，并总结了西班牙卫生部委托给加利西亚 HTA 机构的指南，用于在西班牙对系统引入后观察进行优先排序和实施。本文描述了作为该项目一部分开发的优先排序工具，并讨论了方案制定、观察实施和结果评估的主要方面。
在标准临床实践中引入优先卫生技术后对其进行观察，可以为卫生组织提供有用的信息。然而，实施卫生技术的观察可能需要特定的政策框架、来自不同利益相关者的承诺以及专门的资金。
