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阿布扎比酋长国卫生技术评估制度化之路:循证审议过程的作用。

Road toward institutionalizing health technology assessment in the Emirate of Abu Dhabi: The role of evidence-informed deliberative processes.

作者信息

Bijlmakers Leon, Egeli Pinar, Al Saeedi Amna Ibrahim, Sadoon Bakr, Richter Dirk, Oortwijn Wija

机构信息

Radboud University Medical Centre, Nijmegen, The Netherlands.

Abu Dhabi Department of Health, United Arab Emirates.

出版信息

Int J Technol Assess Health Care. 2024 Dec 18;40(1):e80. doi: 10.1017/S0266462324004744.

Abstract

OBJECTIVE

This paper reports on the process used to embark on one of the core strategies of Abu Dhabi's Department of Health, which was to develop a roadmap for HTA implementation and institutionalization, based on the aspirations and needs of local stakeholders and making use of the evidence-informed deliberative processes framework. The paper also highlights the main features of the road map that may be expected to address some of the current challenges.

METHODS

A series of activities were undertaken that informed the subsequent development of the roadmap. They comprised a situation analysis using a combination of desk research and semistructured (group) interviews with 45 stakeholders. The findings were discussed in two workshops; face-to-face with nonindustry stakeholders from Abu Dhabi, and online with industry representatives.

RESULTS

Guided by the EDP framework, the roadmap provides instructions how to organize stakeholder involvement, how to identify and operationalize decision criteria, and how to ensure that the decision-making process is transparent. Specific guidance is given on establishing an HTA structure with an appropriate policy framework, the formulation of an HTA program, a communication strategy, as well as building and leveraging HTA expertise.

CONCLUSION

Broad stakeholder consultation has been instrumental toward the establishment of a comprehensive HTA framework in Abu Dhabi, and the development of a road map. The interest raised during stakeholder consultations and the commitments made hold promise for the adoption and establishment of EDP principles to support HTA in Abu Dhabi that have potential to contribute to a sustainable high-quality healthcare system.

摘要

目的

本文报告了阿布扎比卫生部核心战略之一的实施过程,该战略旨在根据当地利益相关者的期望和需求,利用循证审议过程框架,制定卫生技术评估(HTA)实施和制度化路线图。本文还强调了该路线图的主要特点,这些特点有望应对当前的一些挑战。

方法

开展了一系列活动,为后续路线图的制定提供了信息。这些活动包括通过案头研究和对45名利益相关者进行半结构化(小组)访谈进行的情况分析。研究结果在两个研讨会上进行了讨论;一次是与来自阿布扎比的非行业利益相关者面对面讨论,另一次是与行业代表进行线上讨论。

结果

在循证审议过程(EDP)框架的指导下,该路线图提供了关于如何组织利益相关者参与、如何确定和实施决策标准以及如何确保决策过程透明的指导。在建立具有适当政策框架的HTA结构、制定HTA计划、沟通策略以及建立和利用HTA专业知识方面给出了具体指导。

结论

广泛的利益相关者协商有助于在阿布扎比建立全面的HTA框架和制定路线图。利益相关者协商期间引发的兴趣和做出的承诺有望推动在阿布扎比采用和确立EDP原则以支持HTA,这有可能为可持续的高质量医疗保健系统做出贡献。

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