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循证医学与国家医疗保障覆盖:华盛顿卫生技术评估计划。

Evidence-Based Medicine and State Health Care Coverage: The Washington Health Technology Assessment Program.

机构信息

Columbia College of Physicians and Surgeons, Columbia University, New York, NY.

NewYork University Stern School of Business, New York, NY.

出版信息

Health Serv Res. 2018 Apr;53(2):846-858. doi: 10.1111/1475-6773.12808. Epub 2017 Dec 3.

DOI:10.1111/1475-6773.12808
PMID:29205345
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5867159/
Abstract

OBJECTIVE

To evaluate the Washington State Health Technology Assessment Program (WHTAP).

STUDY SETTING

Washington State Health Technology Assessment Program proceedings in Seattle, Washington.

DATA COLLECTION AND STUDY DESIGN

We assessed the program through observation of its proceedings over a 5-year period, 2009-2014. We conducted detailed analyses of the documents it produced and reviewed relevant literature.

PRINCIPAL FINDINGS

Washington State Health Technology Assessment Program is unique compared to other state and federal programs. It has successfully applied evidence-based medicine to health care decision making, limited by the strength of available data. It claims cost savings, but they are not substantiated.

CONCLUSIONS

Washington State Health Technology Assessment Program is a useful model for other states considering implementation of technology assessment programs. We provide key lessons for improving WHTAP's process.

摘要

目的

评估华盛顿州卫生技术评估计划(WHTAP)。

研究地点

华盛顿州西雅图的华盛顿州卫生技术评估计划会议。

数据收集和研究设计

我们通过观察其在 2009 年至 2014 年期间的会议,对该计划进行了评估。我们对其制作的文件进行了详细分析,并回顾了相关文献。

主要发现

与其他州和联邦计划相比,华盛顿州卫生技术评估计划是独一无二的。它成功地将循证医学应用于医疗保健决策,受到可用数据强度的限制。它声称节省了成本,但这些说法并没有得到证实。

结论

华盛顿州卫生技术评估计划是其他考虑实施技术评估计划的州的一个有用的模式。我们为改进 WHTAP 的流程提供了关键经验。

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Health Serv Res. 2018 Apr;53(2):846-858. doi: 10.1111/1475-6773.12808. Epub 2017 Dec 3.
2
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本文引用的文献

1
Evidence-Based Clinical Prevention in the Era of the Patient Protection and Affordable Care Act: The Role of the US Preventive Services Task Force.《患者保护与平价医疗法案》时代基于证据的临床预防:美国预防服务工作组的作用
JAMA. 2015 Nov 17;314(19):2021-2. doi: 10.1001/jama.2015.13154.
2
Surgical-robot costs put small hospitals in a bind.手术机器人的成本让小医院陷入困境。
Mod Healthc. 2014 Apr 21;44(16):12-4.
3
Comparative effectiveness research: a progress report.比较疗效研究:进展报告。
Ann Intern Med. 2010 Oct 5;153(7):469-72. doi: 10.7326/0003-4819-153-7-201010050-00269. Epub 2010 Aug 2.
4
Implementing evidence-based health policy in Washington State.在华盛顿州实施循证健康政策。
N Engl J Med. 2009 Oct 29;361(18):1722-5. doi: 10.1056/NEJMp0907384.
5
Comparing the USPSTF and GRADE approaches to recommendations.比较美国预防服务工作组(USPSTF)和推荐分级的评估、制定与评价(GRADE)方法。
Ann Intern Med. 2009 Sep 1;151(5):363; author reply 363-4. doi: 10.7326/0003-4819-151-5-200909010-00016.
6
Applying evidence-based imaging to policy: the Washington State experience.将循证影像学应用于政策制定:华盛顿州的经验
J Am Coll Radiol. 2009 May;6(5):366-71. doi: 10.1016/j.jacr.2009.01.015.
7
Current processes of the U.S. Preventive Services Task Force: refining evidence-based recommendation development.美国预防服务工作组的当前流程:完善基于证据的推荐意见制定。
Ann Intern Med. 2007 Jul 17;147(2):117-22. doi: 10.7326/0003-4819-147-2-200707170-00170. Epub 2007 Jun 18.
8
Health services research as a source of legislative analysis and input: the role of the California Health Benefits Review Program.作为立法分析和投入来源的卫生服务研究:加利福尼亚州健康福利审查项目的作用
Health Serv Res. 2006 Jun;41(3 Pt 2):1124-58. doi: 10.1111/j.1475-6773.2006.00523.x.