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循证决策 3:卫生技术评估。

Evidence-Based Decision Making 3: Health Technology Assessment.

机构信息

Program for Assessment of Technology in Health (PATH), St. Joseph's Healthcare Hamilton, Hamilton, ON, Canada.

Department of Clinical Epidemiology and Biostatistics, Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada.

出版信息

Methods Mol Biol. 2021;2249:429-454. doi: 10.1007/978-1-0716-1138-8_23.

DOI:10.1007/978-1-0716-1138-8_23
PMID:33871857
Abstract

This chapter begins with a brief introduction to health technology assessment (HTA). HTA is concerned with the systematic evaluation of the consequences of the adoption and use of new health technologies and to improve the evidence on existing technologies. The objective of mainstream HTA is to support evidence-based decision- and policy-making that encourage the uptake of efficient and effective health-care technologies. This chapter provides a basic framework for conducting an HTA, as well as some fundamental concepts and challenges in assessing health technologies. Whether HTA is beneficial-supporting timely access to needed technologies-or detrimental depends on three critical issues: when the assessment is performed; how it is performed; and how the findings are used.

摘要

本章首先简要介绍了健康技术评估(HTA)。HTA 关注的是对新医疗技术的采用和使用的后果进行系统评估,并提高对现有技术的证据水平。主流 HTA 的目的是支持基于证据的决策和政策制定,鼓励采用高效和有效的医疗保健技术。本章提供了进行 HTA 的基本框架,以及评估医疗技术时的一些基本概念和挑战。HTA 是否有益——支持及时获得所需技术——还是有害,取决于三个关键问题:评估进行的时间;如何进行评估;以及如何使用评估结果。

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Incorporating Affordability Concerns Within Cost-Effectiveness Analysis for Health Technology Assessment.将可负担性问题纳入卫生技术评估的成本效益分析中。
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