Department of Health Care Management, Berlin University of Technology, Straße des 17. Juni 135, Berlin10623, Germany.
Charlotte Maxeke Medical Research Cluster (CMeRC), Wits Health Consortium, 31 Princess of Wales Terrace, Park Town, Johannesburg2193, South Africa.
Int J Technol Assess Health Care. 2020 Dec 7;37:e29. doi: 10.1017/S0266462320001919.
Depending on the health system context and the demands of relevant stakeholders in countries, the need, organizational structure, and prerequisites for enabling capacity building and development in health technology assessment (HTA) will vary. Core competencies are instrumental in this and include essential knowledge, skills, and attitudes (KSAs). They provide building blocks for delivering high-quality and effective practices of HTA. We aimed to systematically explore and develop an overview of the core competencies necessary for HTA.
This study was conducted during 2016-19 using different methods in a structured manner. We drew concepts of KSAs from various literature sources, surveyed universities and HTA professionals, and conducted expert workshops to arrive at a common understanding of the required competencies.
The terminology for KSAs defining competencies in HTA programs has been clarified. In addition, a list of competencies offered through different educational and training programs has been created. The surveys provided clarity on a common understanding of KSAs among HTA stakeholders. Thereafter, a set of competencies was described and classified according to the HTA domains.
Our study shows that there is diversity in HTA programs offered by educational institutions. The content of the programs varies due to differences between countries regarding the level of HTA development and the need for HTA, including the understanding of what HTA is. The preparation of a competency checklist or a "menu" of options mirroring the diversity of HTA will ensure that the specific needs of the HTA community will be covered.
根据卫生系统的背景和各国相关利益攸关方的需求，在卫生技术评估（HTA）方面进行能力建设和发展的必要性、组织结构和前提条件将有所不同。核心能力在这方面发挥了重要作用，包括必要的知识、技能和态度（KSAs）。它们为提供高质量和有效的 HTA 实践提供了基础。我们旨在系统地探索和概述 HTA 所需的核心能力。
本研究于 2016-19 年期间采用不同的方法进行，以结构化的方式进行。我们从各种文献来源中汲取了 KSAs 的概念，对大学和 HTA 专业人员进行了调查，并进行了专家研讨会，以达成对所需能力的共识。
已澄清了 HTA 计划中定义能力的 KSAs 术语。此外，还创建了一份通过不同教育和培训计划提供的能力清单。调查明确了 HTA 利益攸关方对 KSAs 的共同理解。此后，根据 HTA 领域描述并分类了一组能力。
我们的研究表明，教育机构提供的 HTA 计划存在多样性。由于各国在 HTA 发展水平和 HTA 需求方面存在差异，包括对 HTA 的理解，因此计划的内容也有所不同。编制一份能力清单或反映 HTA 多样性的“选项菜单”，将确保满足 HTA 社区的具体需求。
