Crespo Carlos
Department of GM Statistics, https://ror.org/021018s57University of Barcelona, Barcelona, Spain.
Axentiva Solutions, Barcelona, Spain.
Int J Technol Assess Health Care. 2025 Jun 2;41(1):e37. doi: 10.1017/S0266462325100135.
The field of health care has evolved from an emphasis on evidence-based medicine, with a focus on efficacy, safety, and tolerability, to the pursuit of evidence-based efficiency and sustainable innovation in many respects (healthcare budgets, carbon print, etc.). This evolution can be attributed, in part, to the contributions of health technology assessment (HTA) bodies, which have facilitated the incorporation of various factors into the decision-making process (). These factors include comparative effectiveness, quality of life, efficiency, budgetary impact, and organizational impact, among others. Within the domain of health care, irrespective of the perspective of each entity (e.g., Food and Drug Administration (FDA), European Medicines Agency, etc.), there is an imperative for the presence of evidence and its assessment in the most transparent manner possible, with the objective of ensuring the incorporation of healthcare technologies.
医疗保健领域已从强调循证医学,专注于疗效、安全性和耐受性,发展到在许多方面追求循证效率和可持续创新(医疗保健预算、碳足迹等)。这种演变部分可归因于卫生技术评估(HTA)机构的贡献,这些机构促进了将各种因素纳入决策过程()。这些因素包括比较有效性、生活质量、效率、预算影响和组织影响等。在医疗保健领域,无论每个实体(如美国食品药品监督管理局(FDA)、欧洲药品管理局等)的观点如何,都迫切需要以尽可能透明的方式提供证据并进行评估,目的是确保医疗技术的纳入。