Department of Surgery and Surgical Services, University of Calgary and Alberta Health Services, Calgary, Canada.
J Health Organ Manag. 2013;27(2):246-65. doi: 10.1108/14777261311321806.
When introducing new health technologies, decision makers must integrate research evidence with local operational management information to guide decisions about whether and under what conditions the technology will be used. Multi-criteria decision analysis can support the adoption or prioritization of health interventions by using criteria to explicitly articulate the health organization's needs, limitations, and values in addition to evaluating evidence for safety and effectiveness. This paper seeks to describe the development of a framework to create agreed-upon criteria and decision tools to enhance a pre-existing local health technology assessment (HTA) decision support program.
DESIGN/METHODOLOGY/APPROACH: The authors compiled a list of published criteria from the literature, consulted with experts to refine the criteria list, and used a modified Delphi process with a group of key stakeholders to review, modify, and validate each criterion. In a workshop setting, the criteria were used to create decision tools.
A set of user-validated criteria for new health technology evaluation and adoption was developed and integrated into the local HTA decision support program. Technology evaluation and decision guideline tools were created using these criteria to ensure that the decision process is systematic, consistent, and transparent.
This framework can be used by others to develop decision-making criteria and tools to enhance similar technology adoption programs.
ORIGINALITY/VALUE: The development of clear, user-validated criteria for evaluating new technologies adds a critical element to improve decision-making on technology adoption, and the decision tools ensure consistency, transparency, and real-world relevance.
在引入新的卫生技术时，决策者必须将研究证据与当地运营管理信息相结合，以指导关于是否以及在何种条件下使用该技术的决策。多准则决策分析可以通过使用标准来明确表达卫生组织的需求、限制和价值观，除了评估安全性和有效性证据外，还可以支持卫生干预措施的采用或优先排序。本文旨在描述一个框架的开发，以创建商定的标准和决策工具，以增强现有的本地卫生技术评估（HTA）决策支持计划。
设计/方法/方法：作者从文献中汇编了一系列已发表的标准，咨询了专家以完善标准清单，并使用一组关键利益相关者的改良 Delphi 流程来审查、修改和验证每个标准。在一个研讨会环境中，使用这些标准创建决策工具。
制定了一套用于新卫生技术评估和采用的用户验证标准，并将其集成到本地 HTA 决策支持计划中。使用这些标准创建了技术评估和决策指南工具，以确保决策过程系统、一致和透明。
其他人可以使用此框架来制定决策标准和工具，以增强类似的技术采用计划。
原创性/价值：制定明确的、经过用户验证的标准来评估新技术是改善技术采用决策的关键要素，决策工具确保了一致性、透明度和现实相关性。
