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卫生技术评估核心模型——构建用于分享多维价值评估的国际框架的十年历程

The HTA Core Model-10 Years of Developing an International Framework to Share Multidimensional Value Assessment.

作者信息

Kristensen Finn Børlum, Lampe Kristian, Wild Claudia, Cerbo Marina, Goettsch Wim, Becla Lidia

机构信息

Danish Health Authority, Copenhagen, Denmark; Faculty of Health Sciences, University of Southern Denmark, Odense, Denmark.

National Institute of Health and Welfare, Helsinki, Finland.

出版信息

Value Health. 2017 Feb;20(2):244-250. doi: 10.1016/j.jval.2016.12.010.

Abstract

BACKGROUND AND OBJECTIVES

The HTA Core Model as a science-based framework for assessing dimensions of value was developed as a part of the European network for Health Technology Assessment project in the period 2006 to 2008 to facilitate production and sharing of health technology assessment (HTA) information, such as evidence on efficacy and effectiveness and patient aspects, to inform decisions.

METHODS

It covers clinical value as well as organizational, economic, and patient aspects of technologies and has been field-tested in two consecutive joint actions in the period 2010 to 2016. A large number of HTA institutions were involved in the work.

RESULTS

The model has undergone revisions and improvement after iterations of piloting and can be used in a local, national, or international context to produce structured HTA information that can be taken forward by users into their own frameworks to fit their specific needs when informing decisions on technology. The model has a broad scope and offers a common ground to various stakeholders through offering a standard structure and a transparent set of proposed HTA questions. It consists of three main components: 1) the HTA ontology, 2) methodological guidance, and 3) a common reporting structure. It covers domains such as effectiveness, safety, and economics, and also includes domains covering organizational, patient, social, and legal aspects. There is a full model and a focused rapid relative effectiveness assessment model, and a third joint action is to continue till 2020.

CONCLUSION

The HTA Core Model is now available for everyone around the world as a framework for assessing value.

摘要

背景与目标

作为评估价值维度的科学框架,卫生技术评估核心模型是2006年至2008年欧洲卫生技术评估网络项目的一部分,旨在促进卫生技术评估(HTA)信息的生成与共享,如疗效和有效性证据以及患者相关方面的信息,为决策提供依据。

方法

它涵盖了技术的临床价值以及组织、经济和患者方面的内容,并在2010年至2016年期间的两项连续联合行动中进行了实地测试。大量的卫生技术评估机构参与了这项工作。

结果

经过多次试点迭代后,该模型已得到修订和完善,可在地方、国家或国际层面使用,以生成结构化的卫生技术评估信息,用户在为技术决策提供依据时可将其纳入自身框架以满足特定需求。该模型具有广泛的范围,通过提供标准结构和一套透明的卫生技术评估问题,为各利益相关方提供了一个共同基础。它由三个主要部分组成:1)卫生技术评估本体,2)方法学指南,3)通用报告结构。它涵盖有效性、安全性和经济学等领域,还包括涵盖组织、患者、社会和法律方面的领域。有一个完整模型和一个聚焦的快速相对有效性评估模型,第三次联合行动将持续到2020年。

结论

卫生技术评估核心模型现已作为评估价值的框架供全球各地的人使用。

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