Specchia Maria Lucia, Favale Marcella, Di Nardo Francesco, Rotundo Giovanna, Favaretti Carlo, Ricciardi Walter, de Waure Chiara
Istituto Sanità pubblica, Sezione Igiene, Università Cattolica del Sacro Cuore, Roma, Italy.
Oxford University Hospital, John Radcliffe Stroke Unit, Headington, Oxford, UK.
Epidemiol Prev. 2015 Jul-Aug;39(4 Suppl 1):39-44.
Health Technology Assessment (HTA) plays a key role in the policy and decision-making process. Nevertheless, it is time- and resource-consuming, and therefore requires proper resource allocation. Priority setting, as a best way to organize effective and explicit resource allocation systems, may be applied even in this field.
The aim of this study was to provide an overview of criteria used for priority setting in HTA at European level.
A systematic review of the scientific literature was performed through PubMed alongside consultation of the websites of the European HTA Agencies belonging to the INAHTA. The search was limited to papers written in English and provided with the full text. Documents were considered eligible if providing criteria for priority setting in HTA.
Seven scientific articles were retrieved from PubMed and 14 European HTA Agencies released prioritization criteria were analysed. The most relevant criteria were: frequency/burden of disease, economic impact and costs, potential benefits, impact on ethical, social, cultural and/or legal aspects.
This work is meant to contribute to supranational discussion on priority setting at European level and shows that, despite the available evidence, work still needs to be done toward harmonization and sharing of the criteria to adopt.
卫生技术评估（HTA）在政策和决策过程中发挥着关键作用。然而，它耗时且耗费资源，因此需要合理分配资源。作为组织有效且明确的资源分配系统的最佳方式，优先级设定甚至可应用于该领域。
本研究旨在概述欧洲层面卫生技术评估中用于优先级设定的标准。
通过PubMed对科学文献进行系统综述，并查阅属于国际卫生技术评估机构网络（INAHTA）的欧洲卫生技术评估机构的网站。搜索仅限于英文撰写且提供全文的论文。若文献提供了卫生技术评估中优先级设定的标准，则被视为合格。
从PubMed检索到7篇科学文章，并分析了14个欧洲卫生技术评估机构发布的优先级设定标准。最相关的标准为：疾病的频率/负担、经济影响和成本、潜在益处、对伦理、社会、文化和/或法律方面的影响。
本研究旨在推动欧洲层面关于优先级设定的超国家讨论，并表明尽管已有相关证据，但在采用标准的协调与共享方面仍需开展工作。
