van der Wilt Gert Jan, Bloemen Bart, Grin John, Gutierrez-Ibarluzea Iñaki, Sampietro-Colom Laura, Refolo Pietro, Sacchini Dario, Hofmann Bjørn, Sandman Lars, Oortwijn Wija
Department of Health Evidence, Radboud University Medical Center, Nijmegen, Netherlands.
Faculty of Social and Behavioural Sciences, University of Amsterdam, Amsterdam, Netherlands.
Int J Technol Assess Health Care. 2022 Jun 23;38(1):e52. doi: 10.1017/S0266462321001768.
Health technology assessment (HTA) aims, through empirical analysis, to shed light on the value of health technologies (O'Rourke et al. [2020, 36, 187-90]). HTA is, then, where facts and values meet. But how, where, and when do facts and values meet in HTA? Currently, HTA is usually portrayed as a sequential process, starting with empirical analysis (assessment), followed by a deliberation on the implications of the findings for a judgment of a health technology's value (appraisal). In this paper, we will argue that in HTA, empirical analysis and normative inquiry are much more closely entwined. In fact, as we hope to show, normative commitments act as an indispensable guide for the collection and interpretation of empirical evidence. Drawing on policy sciences, we will suggest a concrete methodology that can help HTA practitioners to integrate empirical analysis and normative inquiry in a transparent way. The proposed methodology can be conceived as a concrete means for conducting a scoping exercise in HTA. Moreover, it offers a distinct way of giving stakeholders a structural and constructive role in HTA. This paper outlines the approach developed by the values in doing assessments of health technologies project, a project funded by the Erasmus+ program (contract number 2018-1-NL01-KA203-038960), which is the European Union's program to support education, training, youth, and sport in Europe. The project has resulted in an E-learning course, an accompanying handbook, and a consensus statement, all freely available from the project's website www.validatehta.eu.
卫生技术评估(HTA)旨在通过实证分析来阐明卫生技术的价值(奥罗克等人,[2020年,第36卷,第187 - 190页])。因此,HTA是事实与价值的交汇点。但在HTA中,事实与价值是如何、在何处以及何时交汇的呢?目前,HTA通常被描述为一个循序渐进的过程,首先是实证分析(评估),随后是对研究结果对卫生技术价值判断(评价)的影响进行审议。在本文中,我们将论证,在HTA中,实证分析和规范探究的联系要紧密得多。事实上,正如我们希望展示的那样,规范性承诺是收集和解释实证证据不可或缺的指南。借鉴政策科学,我们将提出一种具体的方法,可帮助HTA从业者以透明的方式将实证分析和规范探究结合起来。所提出的方法可被视为在HTA中进行范围界定的具体手段。此外,它为让利益相关者在HTA中发挥结构化和建设性作用提供了一种独特方式。本文概述了“卫生技术评估中的价值”项目所开发的方法,该项目由伊拉斯谟+计划资助(合同编号2018 - 1 - NL01 - KA203 - 038960),这是欧盟支持欧洲教育、培训、青年和体育的计划。该项目已产生了一门电子学习课程、一本配套手册和一份共识声明,均可从项目网站www.validatehta.eu免费获取。