Strengthening expertise for health technology assessment and priority-setting in Africa
Strengthening expertise for health technology assessment and priority-setting in Africa
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DOI：
10.1080/16549716.2017.1370194
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发表时间：
2017-10-16
影响因子：
2.6
通讯作者：
Hofman, Karen
中科院分区：
文献类型：
--
作者：
Doherty, Jane E.;Wilkinson, Thomas;Hofman, Karen
工作背景：实现可持续的全民健康覆盖在一定程度上取决于公平的优先事项制定过程，以确保各国明智地使用稀缺资源。虽然非洲有加强保健经济学能力的一般倡议，但对发展个人、机构和网络应用经济评价支持保健技术评估和有效确定优先事项的能力的关注较少。在借鉴国际经验教训的基础上，确定研究组织和伙伴关系如何有助于加强卫生技术评估和优先事项的能力-方法：快速扫描进行了国际正式和灰色文献和经验教训，从两个国际和区域研讨会的审议有关的能力建设，卫生技术评估。“能力”的定义是广义的，包括一个有利的政治环境，强大的公共机构能力，以推动优先事项的设置，有效的专家之间的网络，强大的研究机构和熟练的researchers.Results：有效的优先事项设置需要比高质量的经济研究。研究人员必须与一系列利益相关者接触，与其他研究组织密切联系，与各级政府建立伙伴关系，并培训未来一代的研究人员和政策制定者。在低收入和中等收入国家，很少有政府单位或机构致力于卫生技术评估，他们也必须支持发展一个有效的优先事项设定过程，是敏感的社会和政府的需求和priority.Conclusions：研究机构有一个重要的作用，发挥在促进卫生技术评估和优先事项设定能力的发展。在面临资源和能力挑战的非洲，当地和国际研究人员之间以及与主要政府利益攸关方之间的有效伙伴关系可以利用现有的技能和知识，培养足够数量的个人和机构。这将有助于满足非洲国家确定优先事项的需要，并促进可持续的全民医保。
Background: Achieving sustainable universal health coverage depends partly on fair priority-setting processes that ensure countries spend scarce resources wisely. While general health economics capacity-strengthening initiatives exist in Africa, less attention has been paid to developing the capacity of individuals, institutions and networks to apply economic evaluation in support of health technology assessment and effective priority-setting.Objective: On the basis of international lessons, to identify how research organisations and partnerships could contribute to capacity strengthening for health technology assessment and priority-setting in Africa.Methods: A rapid scan was conducted of international formal and grey literature and lessons extracted from the deliberations of two international and regional workshops relating to capacity-building for health technology assessment. 'Capacity' was defined in broad terms, including a conducive political environment, strong public institutional capacity to drive priority-setting, effective networking between experts, strong research organisations and skilled researchers.Results: Effective priority-setting requires more than high quality economic research. Researchers have to engage with an array of stakeholders, network closely other research organisations, build partnerships with different levels of government and train the future generation of researchers and policy-makers. In low-and middle-income countries where there are seldom government units or agencies dedicated to health technology assessment, they also have to support the development of an effective priority-setting process that is sensitive to societal and government needs and priorities.Conclusions: Research organisations have an important role to play in contributing to the development of health technology assessment and priority-setting capacity. In Africa, where there are resource and capacity challenges, effective partnerships between local and international researchers, and with key government stakeholders, can leverage existing skills and knowledge to generate a critical mass of individuals and institutions. These would help to meet the priority-setting needs of African countries and contribute to sustainable universal health coverage.