Centre for Population Health Sciences, Hanoi University of Public Health, Ha Noi, Viet Nam
Department of Epidemiology and Global Health, Umeå University, Umea, Sweden.
BMJ Open. 2024 Aug 22;14(8):e082405. doi: 10.1136/bmjopen-2023-082405.
This study was conducted with the objective of exploring the usage of health-related quality of life (HRQOL) outcomes and willingness of health technology assessment (HTA) and public health stakeholders to use the EQ-5D-5L instrument in healthcare decision-making processes in Vietnam.
In this qualitative study, 11 interviews were held with key stakeholders involved in healthcare decision-making for HTA between June 2021 and June 2022. The interviewees included members of the Vietnamese pharmacoeconomic council and public-health professionals from a diverse array of regions of Vietnam. The data collection involved obtaining verbal consent, warm-up discussions and interviews conducted via Zoom, with subsequent verification by interviewees. The analysis employed a theoretical thematic approach, adopting a deductive methodology to identify and analyse underlying ideas and meanings within the empirical data.
This study highlights the general importance and viability of HRQOL measures, and more particularly the EQ-5D-5L instrument, in healthcare decision-making in Vietnam. Challenges have been identified, including insufficient recognition, interpretation, standardisation and educational initiatives relating to HRQOL measurements. This study advocates for official training programmes on HRQOL measurements, guidelines for the application of the EQ-5D-5L and an open HRQOL database in Vietnam. Concerns regarding validity and outcome variation in HRQOL measurements underline the necessity for continuous psychometric properties assessments and regular updates to national HRQOL data in the Vietnamese context.
HRQOL outcomes are important, and Vietnamese stakeholders express a readiness to employ the EQ-5D-5L in healthcare decision-making, especially HTA. Nevertheless, HRQOL measurements, including the EQ-5D-5L, are currently inadequately used in Vietnam, and further efforts are required to improve utilisation.
本研究旨在探讨越南卫生技术评估（HTA）和公共卫生利益相关者在医疗保健决策中使用健康相关生活质量（HRQOL）结果和使用 EQ-5D-5L 工具的意愿。
在这项定性研究中，于 2021 年 6 月至 2022 年 6 月期间对参与 HTA 医疗保健决策的 11 名关键利益相关者进行了访谈。受访者包括越南药物经济学委员会成员和来自越南不同地区的公共卫生专业人员。数据收集包括获得口头同意、通过 Zoom 进行热身讨论和访谈，随后由受访者验证。分析采用理论主题方法，采用演绎方法识别和分析经验数据中的潜在思想和意义。
本研究强调了 HRQOL 测量，特别是 EQ-5D-5L 工具在越南医疗保健决策中的重要性和可行性。已经确定了一些挑战，包括对 HRQOL 测量的认识、解释、标准化和教育活动不足。本研究主张在越南开展 HRQOL 测量的官方培训计划、EQ-5D-5L 应用指南和开放的 HRQOL 数据库。对 HRQOL 测量的有效性和结果变异性的关注突出表明，需要在越南背景下不断评估心理测量特性并定期更新国家 HRQOL 数据。
HRQOL 结果很重要，越南利益相关者表示愿意在医疗保健决策中使用 EQ-5D-5L，特别是在 HTA 中。然而，HRQOL 测量，包括 EQ-5D-5L，在越南目前使用不足，需要进一步努力提高利用率。
