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实现阿曼卫生技术评估的路线图。

A roadmap towards implementing health technology assessment in Oman.

机构信息

Directorate General of Medical Supplies, Ministry of Health Oman E-Library, Muscat, Oman.

Director General of Planning and Studies, Ministry of Health Oman E-Library, Muscat, Oman.

出版信息

J Health Organ Manag. 2024 Jul 12;38(9):241-257. doi: 10.1108/JHOM-01-2024-0012.

Abstract

PURPOSE

Health technologies are advancing rapidly and becoming more expensive, posing a challenge for financing healthcare systems. Health technology assessment (HTA) improves the efficiency of resource allocation by facilitating evidence-informed decisions on the value of health technologies. Our study aims to create a customized HTA roadmap for Oman based on a gap analysis between the current and future status of HTA implementation.

DESIGN/METHODOLOGY/APPROACH: We surveyed participants of an advanced HTA training program to assess the current state of HTA implementation in Oman and explore long-term goals. A list of draft recommendations was developed in areas with room for improvement. The list was then validated for its feasibility in a round table discussion with senior health policy experts to conclude on specific actions for HTA implementation.

FINDINGS

Survey results aligned well with expert discussions. The round table discussion concluded with a phasic action plan for HTA implementation. In the short term (1-2 years), efforts will focus on building capacity through training programs. For medium-term actions (3-5 years), plans include expanding the HTA unit and introducing multiple cost-effectiveness thresholds while from 6-10 years, publishing of HTA recommendations, critical appraisal reports, and timelines is recommended.

ORIGINALITY/VALUE: Although the HTA system in Oman is still in its early stages, strong initiatives are being taken for its advancement. This structured approach ensures a comprehensive integration of HTA into the healthcare system, enhancing decision-making and promoting a sustainable, evidence-based system addressing the population's needs.

摘要

目的

医疗技术发展迅速且费用日益高昂,这对医疗保健系统的融资构成了挑战。通过促进基于证据的健康技术价值决策,卫生技术评估(HTA)提高了资源配置的效率。我们的研究旨在根据 HTA 实施的当前和未来状况之间的差距分析,为阿曼制定定制的 HTA 路线图。

设计/方法/方法:我们对高级 HTA 培训计划的参与者进行了调查,以评估阿曼 HTA 实施的现状并探索长期目标。在具有改进空间的领域中制定了一系列草案建议。然后,在与高级卫生政策专家的圆桌讨论中对该清单的可行性进行了验证,以确定 HTA 实施的具体行动。

发现

调查结果与专家讨论相符。圆桌讨论得出了 HTA 实施的阶段性行动计划。在短期内(1-2 年),将通过培训计划来集中精力提高能力。在中期行动(3-5 年)中,计划包括扩大 HTA 单位并引入多个成本效益阈值,而在 6-10 年内,则建议发布 HTA 建议,进行关键评估报告和制定时间表。

原创性/价值:尽管阿曼的 HTA 系统仍处于早期阶段,但正在采取有力措施来推进其发展。这种结构化的方法可确保 HTA 全面融入医疗保健系统,从而增强决策能力并促进可持续的循证系统,以满足人口的需求。

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