47797 Visiting Professor, School of Public Policy, Central European University, Hungary.
J Health Serv Res Policy. 2018 Apr;23(2):134-136. doi: 10.1177/1355819617725545. Epub 2017 Sep 19.
Health technology assessment (HTA) has over the past three decades become a well-established part of decisions about allocation of resources in many countries. Despite this, little is known about HTA's impact on health systems. Few studies have evaluated the benefits of HTA for health outcomes, for access to care or for public budgets. In contrast, HTA has relatively clear upfront costs, which could potentially discourage policy-makers from establishing HTA agencies, especially in low income countries with restricted resources. It may be premature, though, to dismiss this approach altogether, as less tangible modernizing goals are still significant.
在过去的三十年中，健康技术评估（HTA）已成为许多国家资源分配决策的重要组成部分。尽管如此，人们对 HTA 对卫生系统的影响知之甚少。很少有研究评估 HTA 对健康结果、获得医疗服务或公共预算的益处。相比之下，HTA 具有相对明确的前期成本，这可能会阻碍决策者建立 HTA 机构，尤其是在资源有限的低收入国家。然而，现在就完全否定这种方法还为时过早，因为不太明显的现代化目标仍然很重要。
