Jankauskiene Danguole, Petronyte Gintare
Mykolas Romeris University.
Int J Technol Assess Health Care. 2013 Oct;29(4):450-5. doi: 10.1017/S0266462313000470.
To promote the further development of HTA, this study aims to design a model for HTA priority setting, which would address national needs for a country with little experience in the field of HTA, and assess its feasibility for the health system.
Literature search and review, as well as qualitative research have been used in the design and testing of the model for HTA priority setting. To test the model and the methodology, a three-round Delphi study was conducted in 2011 in the form of an electronic questionnaire, which was distributed to the panel of eleven national experts. The panel was composed of experts representing various fields of the health care sector: policy-makers, health care service professionals and academics, with diverse professional roles.
The designed model consists of four stages: (i) selection of experts for the panel, (ii) indication and selection of health policy topics, (iii) identification of health technologies, and (iv) priority setting. Three rounds of the Delphi study were performed to test the model and reach expert consensus on a list of health technologies for assessment, including pharmaceuticals, vaccines, medical devices, diagnostic methods, public health interventions, organizational systems, etc.
Based on the Delphi technique as a method for consensus building, the model for HTA priority setting was developed for Lithuania; however, it could also be used for other countries with little experience in the field of HTA.
为促进卫生技术评估（HTA）的进一步发展，本研究旨在设计一种HTA优先级设定模型，该模型将满足一个在HTA领域经验较少的国家的国家需求，并评估其在卫生系统中的可行性。
文献检索与综述以及定性研究已用于HTA优先级设定模型的设计和测试。为了测试该模型和方法，2011年以电子问卷的形式进行了三轮德尔菲研究，问卷分发给了由11名国家专家组成的小组。该小组由代表医疗保健部门各个领域的专家组成：政策制定者、医疗保健服务专业人员和学者，具有不同的专业角色。
设计的模型包括四个阶段：（i）专家小组的选择；（ii）卫生政策主题的指示和选择；（iii）卫生技术的识别；（iv）优先级设定。进行了三轮德尔菲研究以测试该模型，并就一份用于评估的卫生技术清单达成专家共识，这些技术包括药品、疫苗、医疗设备、诊断方法、公共卫生干预措施、组织系统等。
基于德尔菲技术作为达成共识的方法，为立陶宛开发了HTA优先级设定模型；然而，它也可用于其他在HTA领域经验较少的国家。
