Downey L E, Dabak S, Eames J, Teerawattananon Y, De Francesco M, Prinja S, Guinness L, Bhargava B, Rajsekar K, Asaria M, Rao N V, Selvaraju V, Mehndiratta A, Culyer A, Chalkidou K, Cluzeau F A
Global Health and Development, School of Public Health, Imperial College London, London, United Kingdom.
Health Intervention Technology Assessment Program (HITAP), Bangkok, Thailand.
Health Policy Open. 2020 Dec;1:100004. doi: 10.1016/j.hpopen.2020.100004.
India's rapid economic growth has been accompanied by slower improvements in population health. Given the need to reconcile the ambitious goal of achieving Universal Coverage with limited resources, a robust priority-setting mechanism is required to ensure that the right trade-offs are made and the impact on health is maximised. Health Technology Assessment (HTA) is endorsed by the World Health Assembly as the gold standard approach to synthesizing evidence systematically for evidence-informed priority setting (EIPS). India is formally committed to institutionalising HTA as an integral component of the EIPS process. The effective conduct and uptake of HTA depends on a well-functioning ecosystem of stakeholders adept at commissioning and generating policy-relevant HTA research, developing and utilising rigorous technical, transparent, and inclusive methods and processes, and a strong multisectoral and transnational appetite for the use of evidence to inform policy. These all require myriad complex and complementary capacities to be built at each level of the health system . In this paper we describe how a framework for targeted and locally-tailored capacity building for EIPS, and specifically HTA, was collaboratively developed and implemented by an international network of priority-setting expertise, and the Government of India.
印度经济的快速增长伴随着人口健康改善速度的放缓。鉴于需要在资源有限的情况下实现全民覆盖这一宏伟目标，就需要一个强有力的优先事项设定机制，以确保做出正确的权衡，并使对健康的影响最大化。卫生技术评估（HTA）被世界卫生大会认可为系统整合证据以进行循证优先事项设定（EIPS）的黄金标准方法。印度正式致力于将卫生技术评估制度化，使其成为循证优先事项设定过程的一个组成部分。卫生技术评估的有效开展和应用取决于一个运转良好的利益相关者生态系统，该系统擅长委托开展和生成与政策相关的卫生技术评估研究，开发和运用严谨、透明且包容的方法及流程，以及各部门和跨国界对利用证据为政策提供信息有强烈的意愿。这些都需要在卫生系统的各个层面建立无数复杂且相互补充的能力。在本文中，我们描述了一个由循证优先事项设定专业知识国际网络和印度政府合作开发并实施的、针对循证优先事项设定（特别是卫生技术评估）的有针对性且因地制宜的能力建设框架。
