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斯洛文尼亚卫生系统中卫生技术评估的现行实施情况。

CURRENT IMPLEMENTATION OF HEALTH TECHNOLOGY ASSESSMENT IN HEALTHCARE SYSTEM IN SLOVENIA.

机构信息

Institute for Economic

出版信息

Int J Technol Assess Health Care. 2017 Jan;33(3):360-364. doi: 10.1017/S0266462317000083. Epub 2017 Apr 24.

Abstract

OBJECTIVES

The objective of this study was to analyze and present the current state of the implementation of health technology assessment (HTA) in Slovenia, identify its advantages and challenges, as well as potential improvements and developments.

METHODS

The HTA structure and processes were analyzed and comprehensively described according to relevant literature, official documents, and experiences of the author.

RESULTS

The important steps in the development and implementation of an HTA system are presented through eight key elements: capacity building; HTA funding; HTA legislation and organizational structure; the scope of HTA implementation; decision criteria; quality, timelines, and transparency of HTA implementation; use of local data; and international collaboration. Based on the current situation, possible further developments are presented.

CONCLUSIONS

Currently, there is no systematic HTA in Slovenia; however, some basic use of HTA principles can be found in the decision making. The biggest deficiency in the HTA field is the lack of knowledge and systematic implementation. Legislation and guidelines for study appraisals are needed at decision-making levels. HTA principles across health technologies need to be unified along with a central HTA coordination office being set up to lead and establish priorities for HTA work.

摘要

目的

本研究旨在分析并呈现斯洛文尼亚卫生技术评估(HTA)实施的现状,确定其优势和挑战,以及潜在的改进和发展方向。

方法

根据相关文献、官方文件和作者的经验,对 HTA 的结构和流程进行了分析和全面描述。

结果

通过 8 个关键要素展示了 HTA 系统开发和实施的重要步骤:能力建设;HTA 资金;HTA 立法和组织结构;HTA 实施范围;决策标准;HTA 实施的质量、时间安排和透明度;使用本地数据;以及国际合作。基于当前情况,提出了可能的进一步发展方向。

结论

目前,斯洛文尼亚没有系统的 HTA;然而,在决策中可以发现一些 HTA 原则的初步应用。HTA 领域最大的缺陷是知识和系统实施的缺乏。需要在决策层面制定研究评估的立法和指南。需要统一各卫生技术的 HTA 原则,并设立一个中央 HTA 协调办公室,负责领导和确定 HTA 工作的优先事项。

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