HTAi Global Policy Forum Scientific Secretary,Ecorys Nederland
Health Technology Assessment International Global Policy Forum,Health Technology Assessment Unit,Hospital Clinic Barcelona.
Int J Technol Assess Health Care. 2017 Jan;33(2):323-329. doi: 10.1017/S0266462317000502. Epub 2017 Jun 5.
In recent years, there has been a surge in the development of frameworks to assess the value of different types of health technologies to inform healthcare resource allocation. The reasons for, and the potential of, these value frameworks were discussed during the 2017 Health Technology Assessment International (HTAi) Policy Forum Meeting.
This study reflects the discussion, drawing on presentations from invited experts and Policy Forum members, as well as a background paper.
The reasons given for a proliferation of value frameworks included: rising healthcare costs; more complex health technology; perceived disconnect between price and value in some cases; changes in societal values; the need for inclusion of additional considerations, such as ethical issues; and greater empowerment of clinicians and patients in defining and using value frameworks. Many Policy Forum participants recommended learning from existing frameworks. Furthermore, there was a desire to agree on the core components of value frameworks, defining the additional value elements as necessary and considering how they might be measured and used in practice. Furthermore, adherence to the principles of transparency, predictability, broad stakeholder involvement, and accountability were widely supported, along with being forward looking, explicit, and consistent across decisions.
Value frameworks continue to evolve with significant implications for global incentives for innovation and access to health technologies. There is a role for the HTA community to address some of the key areas discussed during the meeting, such as defining the core components for assessing the value of a health technology.
近年来，评估不同类型卫生技术价值以指导医疗资源配置的框架数量迅速增加。在 2017 年卫生技术评估国际（HTAi）政策论坛会议上，讨论了这些价值框架产生的原因和潜力。
本研究反映了此次讨论，借鉴了受邀专家和政策论坛成员的演讲以及一份背景文件。
给出的价值框架激增的原因包括：医疗保健成本上升；更复杂的卫生技术；在某些情况下，价格与价值之间存在脱节；社会价值观的变化；需要纳入更多考虑因素，如伦理问题；以及赋予临床医生和患者更多权力，以定义和使用价值框架。许多政策论坛参与者建议从现有框架中学习。此外，人们希望就价值框架的核心组件达成一致，根据需要定义额外的价值要素，并考虑如何在实践中衡量和使用这些要素。此外，广泛支持透明性、可预测性、广泛的利益相关者参与和问责制等原则，同时也具有前瞻性、明确性和一致性。
价值框架不断发展，对全球创新激励和获取卫生技术产生重大影响。HTA 界有责任解决会议期间讨论的一些关键领域，例如定义评估卫生技术价值的核心组件。
