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卫生技术评估研究在政策决策中的应用。

Application of HTA research on policy decision-making.

作者信息

Youngkong Sitaporn

出版信息

J Med Assoc Thai. 2014 May;97 Suppl 5:S119-26.

Abstract

This article provides an overview of the potential uses of health technology assessment (HTA) in health technology or health intervention-related policy decision-making. It summarises the role of HTA in policy planning, health system investment, price negotiation, development of clinical practice guidelines, and communication with health professionals. While the multifaceted nature of HTA means that some aspects of the data can result in conflicting conclusions, the comprehensive approach of HTA is still recommended. To help minimise the potential conflicts within HTA data, a multicriteria decision analysis (MCDA) approach is recommended as a way to assess a number of decision criteria simultaneously. A combination of HTA with MCDA allows policy decision-making to be undertaken in an empirically rigorous and rational way. This combination can be used to support policy decision-makers in Thailand and help them prioritise topics for assessment and make informed health benefit package coverage decisions. This approach enhances the legitimacy of policy decisions by increasing the transparency, systematic nature, and inclusiveness of the process.

摘要

本文概述了卫生技术评估(HTA)在卫生技术或卫生干预相关政策决策中的潜在用途。它总结了HTA在政策规划、卫生系统投资、价格谈判、临床实践指南制定以及与卫生专业人员沟通方面的作用。虽然HTA的多面性意味着某些数据方面可能会导致相互矛盾的结论,但仍建议采用HTA的综合方法。为帮助尽量减少HTA数据中的潜在冲突,建议采用多标准决策分析(MCDA)方法,作为同时评估多个决策标准的一种方式。HTA与MCDA相结合,能够以经验严谨且合理的方式进行政策决策。这种结合可用于支持泰国的政策决策者,帮助他们确定评估主题的优先级,并做出明智的医保福利套餐覆盖范围决策。这种方法通过提高决策过程的透明度、系统性和包容性,增强了政策决策的合法性。

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