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寻求共同点:合作解决“棘手”问题。

Finding common ground: collaboration to solve 'wicked' problems.

作者信息

Mundy Linda, Maddern Guy

机构信息

School of Public Health, Faculty of Health and Medical Sciences, https://ror.org/00892tw58University of Adelaide, Adelaide, SA, Australia.

Chair, HTAi Asia Policy Forum, University of Adelaide, Adelaide, SA, Australia.

出版信息

Int J Technol Assess Health Care. 2025 Jul 29;41(1):e54. doi: 10.1017/S0266462325100378.

Abstract

Collaboration is both a process and an outcome. Collaboration is based on the idea that interactions between participants with a common goal, working together as partnerships and sharing resources, can solve complex or "wicked" problems that are not possible to solve in isolation. Collaboration may be simple, occurring between individuals, or more complex interorganizational arrangements across sectors, with the life cycle and size of the collaboration determined by the issue at hand. HTA collaborations may involve a wide range of stakeholders, including HTA agencies at the national, regional, or global level, academia, government (including regulatory authorities), industry, clinicians, providers, and patient organizations. Regardless of the number or type of participants, collaborations need a shared understanding of the common goal, an agreement on aims, and a commitment to shared solutions.Industry and agency members of the Health Technology Assessment International (HTAi) Asia Policy Forum (APF) met in Seoul, South Korea, in November 2024 for open discussions on how to facilitate and improve the collaborative process between all stakeholders in the health system, including government, HTA agencies, industry, academia, clinicians, as well as patients. Over the three days, these discussions identified some of the risks and obstacles to collaboration in the region, how to develop and use collaboration better, as well as articulating the value and benefits of collaboration both in the region and globally.

摘要

合作既是一个过程,也是一种结果。合作基于这样一种理念,即有着共同目标的参与者之间作为伙伴开展合作并共享资源的互动,能够解决那些孤立情况下无法解决的复杂或“棘手”问题。合作可能很简单,发生在个人之间,也可能是跨部门更复杂的组织间安排,合作的生命周期和规模由手头的问题决定。卫生技术评估(HTA)合作可能涉及广泛的利益相关者,包括国家、区域或全球层面的HTA机构、学术界、政府(包括监管机构)、行业、临床医生、提供者和患者组织。无论参与者的数量或类型如何,合作都需要对共同目标有共同的理解、对目标达成一致,并致力于共享解决方案。卫生技术评估国际(HTAi)亚洲政策论坛(APF)的行业和机构成员于2024年11月在韩国首尔会面,就如何促进和改善卫生系统中所有利益相关者(包括政府、HTA机构、行业、学术界、临床医生以及患者)之间的合作过程进行公开讨论。在这三天里,这些讨论确定了该地区合作的一些风险和障碍、如何更好地发展和利用合作,以及阐明了该地区和全球合作的价值和益处。

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