Key principles for the improved conduct of health technology assessments for resource allocation decisions
Key principles for the improved conduct of health technology assessments for resource allocation decisions
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DOI：
10.1017/s0266462308080343
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发表时间：
2008-06-01
影响因子：
3.2
通讯作者：
Sullivan, Sean D.
中科院分区：
文献类型：
--
作者：
Drummond, Michael F.;Schwartz, J. Sanford;Sullivan, Sean D.
卫生技术评估（HTA）是一个动态的、快速发展的过程，包括不同类型的评估，为现实世界的价值决策提供信息（即，利益、风险和成本）。从历史上看，大多数卫生技术评估机构都专注于制作高质量的评估报告，供一系列决策者使用。然而，越来越多的组织正在进行或委托HTA为特定的资源分配决策提供信息，例如将药物列入国家或地方处方集，确定保险计划的覆盖范围，或发布关于在特定医疗保健系统中使用卫生技术的强制性指南。提出了一套可用于评估现有或建立新的卫生技术评估活动的15项原则，并提供了现有卫生技术评估项目的实例。主要重点是那些与特定资源分配决定有关或包括特定资源分配决定的卫生技术评估活动。在这些卫生技术协定中，在经济评估中同时考虑成本和效益至关重要。考虑卫生技术评估与随后的决定之间的联系也很重要。这些原则分为四个部分：（一）卫生技术评估方案的“结构”;（二）卫生技术评估的“方法”;（三）卫生技术评估的“行为程序”;（四）“在决策中使用卫生技术评估”。"
Health technology assessment (HTA) is a dynamic, rapidly evolving process, embracing different types of assessments that inform real-world decisions about the value (i.e., benefits, risks, and costs) of new and existing technologies. Historically, most HTA agencies have focused on producing high quality assessment reports that can be used by a range of decision makers. However, increasingly organizations are undertaking or commissioning HTAs to inform a particular resource allocation decision, such as listing a drug on a national or local formulary, defining the range of coverage under insurance plans, or issuing mandatory guidance on the use of health technologies in a particular healthcare system. A set of fifteen principles that can be used in assessing existing or establishing new HTA activities is proposed, providing examples from existing HTA programs. The principal focus is on those HTA activities that are linked to, or include, a particular resource allocation decision. In these HTAs, the consideration of both costs and benefits, in an economic evaluation, is critical. It is also important to consider the link between the HTA and the decision that will follow. The principles are organized into four sections: (i) "Structure" of HTA programs; (ii) "Methods" of HTA; (iii) "Processes for Conduct" of HTA; and (iv) "Use of HTAs in Decision Making."