Warwick Research in Nursing, Warwick Medical School, University of Warwick, CoventryCV4 7AL, UK.
Swedish Agency for Health Technology Assessment and Assessment of Social Services, SBU, Stockholm, Sweden.
Int J Technol Assess Health Care. 2021 Mar 22;37:e46. doi: 10.1017/S026646232100012X.
The aim of this paper is to review the concept of patient-based evidence in health technology assessment (HTA), drawing on philosophical ideas of knowledge in order to judge whether current approaches to the use of evidence for HTA are complete. We draw on a number of key sources, including key papers and book chapters, discussion forums, agency reports, and conference presentations. We develop the potential dimensions of patient-based evidence, describe its key attributes, and consider its future development. Patient-based evidence has the potential to be a key concept in HTA, comprised of a series of related elements of importance to patients. We recognize that we raise more questions than can be answered, but as an emerging concept, recognition and understanding of patient-based evidence is still developing. The concepts and methods that support its application in HTA require urgent development. We conclude that clinical and economic forms of evidence are not enough for HTA. For HTA to be complete, we need to consider all relevant aspects of the phenomena, including patient-based evidence. There is now an urgent need for the global research and HTA community to work together to realize the full potential of patient-based evidence through conceptual and methodological development and wider recognition. We advocate that a task force be set up to address these urgent issues.
本文旨在回顾健康技术评估（HTA）中基于患者的证据概念，借鉴知识哲学思想来判断当前用于 HTA 的证据方法是否完整。我们借鉴了许多主要来源，包括主要论文和章节、讨论论坛、机构报告和会议演讲。我们提出了基于患者的证据的潜在维度，描述了其关键属性，并考虑了其未来的发展。基于患者的证据有可能成为 HTA 的一个关键概念，由一系列与患者相关的重要元素组成。我们认识到，我们提出的问题多于能够回答的问题，但作为一个新兴概念，对基于患者的证据的认识和理解仍在发展中。支持其在 HTA 中应用的概念和方法需要紧急发展。我们的结论是，临床和经济形式的证据不足以进行 HTA。为了使 HTA 完整，我们需要考虑现象的所有相关方面，包括基于患者的证据。现在全球研究和 HTA 界迫切需要共同努力，通过概念和方法的发展以及更广泛的认可，充分发挥基于患者的证据的潜力。我们主张成立一个工作组来解决这些紧迫问题。
