Poulsen P B, Hørder M
Odense Universitet, Center for Helsetjenesteoforskning og Socialpolitik.
Ugeskr Laeger. 1998 Aug 24;160(35):5041-4.
With the establishment of a national institute for Health Technology Assessment (HTA), the interest in HTA is increasing in Denmark. The National Board of Health defines HTA as a comprehensive systematic evaluation of the assumptions for, and consequences of, the application of health technology. The focus is on four elements: the technology, the economy, the patient and the organisation. However, is this broad and comprehensive definition in agreement with the practical use of HTA? This article refers to an international comparison of 124 HTA-projects made by five national HTA-institutions. The article shows that only seventeen HTA-projects can be characterized as broad and comprehensive, focusing on all four elements. The rest are more restricted in their form. The future implication for Danish HTA initiatives might then be to include some partial interpretations in the HTA-definition, besides the broad and comprehensive one used today.
随着丹麦国家卫生技术评估研究所的成立,丹麦对卫生技术评估的关注度日益提高。国家卫生局将卫生技术评估定义为对卫生技术应用的假设及其后果进行全面系统的评估。重点在于四个要素:技术、经济、患者和组织。然而,这一宽泛且全面的定义是否与卫生技术评估的实际应用相符呢?本文提及了五个国家卫生技术评估机构对124个卫生技术评估项目所做的国际比较。文章表明,只有17个卫生技术评估项目可被视为宽泛且全面,关注到了所有四个要素。其余项目在形式上则更为受限。那么,对丹麦卫生技术评估举措的未来影响可能是,除了如今使用的宽泛且全面的定义外,在卫生技术评估定义中纳入一些部分性的解释。