Radboud University Medical Center.
Institute for Quality and Efficiency in Healthcare (IQWIG).
Int J Technol Assess Health Care. 2019;35(4):263-265. doi: 10.1017/S0266462319000539.
To report from the Scientific Development and Capacity Building Committee of Health Technology Assessment International (HTAi) on activities that are being undertaken within HTAi regarding the promotion of scientific rigor in the field of health technology assessment (HTA).
Retrieval of definitions of HTA that the SDCB committee considered reflective of the current practice of HTA, followed by a narrative synthesis of the core components of HTA.
Several definitions of HTA have been provided, all sharing the notion that HTA is the formal, systematic, and transparent inquiry into the meaning and value, broadly defined, of health technologies, when used in specific patient populations.Many frameworks and tools have been developed for assessing the quality of specific tasks that may be conducted in the context of HTA. Collating such frameworks and tools is likely to be helpful in developing standards and in providing guidance as to how the scientific quality of HTA may be secured. Two current trends in HTA were noted: a stronger health systems focus, and the need to involve stakeholders throughout the HTA process. A wider systems' perspective requires that plausible alternative scenarios are being developed, and wide consultation of various stakeholders is a prerequisite to the development of such scenarios with data from various sources.
Current trends in HTA will lead to different demands on the HTA expert. The task of this emerging policy professional would be not just to provide technical information for problem-solving, but also to combine it with a new function of facilitating public deliberation and learning.
报告健康技术评估国际(HTAi)科学发展和能力建设委员会(SDCB)在 HTAi 内部开展的活动,以促进 HTA 领域的科学严谨性。
检索 SDCB 委员会认为反映 HTA 当前实践的 HTA 定义,然后对 HTA 的核心组成部分进行叙述性综合。
提供了几个 HTA 的定义,所有这些定义都认为 HTA 是对健康技术的意义和价值的正式、系统和透明的调查,广义上定义为在特定患者群体中使用的健康技术。已经开发了许多评估可能在 HTA 背景下进行的特定任务质量的框架和工具。整理这些框架和工具可能有助于制定标准,并就如何确保 HTA 的科学质量提供指导。注意到 HTA 中的两个当前趋势:更强的卫生系统重点,以及在整个 HTA 过程中需要涉及利益相关者。更广泛的系统观点需要开发可行的替代方案,并且广泛征求各种利益相关者的意见是从各种来源开发此类方案和数据的前提条件。
HTA 的当前趋势将对 HTA 专家提出不同的要求。新兴政策专业人员的任务不仅是提供解决问题的技术信息,还要将其与促进公众讨论和学习的新功能结合起来。