The HTA Core Model®-10 Years of Developing an International Framework to Share Multidimensional Value Assessment
The HTA Core Model®-10 Years of Developing an International Framework to Share Multidimensional Value Assessment
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DOI：
10.1016/j.jval.2016.12.010
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发表时间：
2017-02-01
期刊：
影响因子：
4.5
通讯作者：
Becla, Lidia
中科院分区：
文献类型：
--
作者：
Kristensen, Finn Borlum;Lampe, Kristian;Becla, Lidia
背景和目标：卫生技术评估核心模型是一个基于科学的价值评估框架，是2006年至2008年期间欧洲卫生技术评估项目网络的一部分，旨在促进卫生技术评估信息的产生和共享，例如关于疗效和有效性以及患者方面的证据，为决策提供信息。研究方法：它涵盖了技术的临床价值以及组织，经济和患者方面，并在2010年至2016年期间连续两次联合行动中进行了实地测试。许多卫生技术评估机构参与了这项工作。结果如下：该模型在反复试点后进行了修订和改进，可用于地方、国家或国际环境，以产生结构化的卫生技术评估信息，用户可以将其纳入自己的框架，以满足他们在为技术决策提供信息时的特定需求。该模式具有广泛的范围，并通过提供一个标准的结构和一套透明的拟议卫生技术评估问题，为各种利益相关者提供了一个共同点。它由三个主要部分组成：1）HTA本体，2）方法指南，3）通用报告结构。它涵盖有效性、安全性和经济性等领域，还包括涵盖组织、患者、社会和法律的方面的领域。有一个完整的模型和一个重点突出的快速相对效力评估模型，第三个联合行动将持续到2020年。结论：卫生技术评估核心模型现在可供世界各地的每个人使用，作为评估价值的框架。
Background and Objectives: The HTA Core Model as a science based framework for assessing dimensions of value was developed as a part of the European network for Health Technology Assessment project in the period 2006 to 2008 to facilitate production and sharing of health technology assessment (HTA) information, such as evidence on efficacy and effectiveness and patient aspects, to inform decisions. Methods: It covers clinical value as well as organizational, economic, and patient aspects of technologies and has been field-tested in two consecutive joint actions in the period 2010 to 2016. A large number of HTA institutions were involved in the work. Results: The model has undergone revisions and improvement after iterations of piloting and can be used in a local, national, or international context to produce structured HTA information that can be taken forward by users into their own frameworks to fit their specific needs when informing decisions on technology. The model has a broad scope and offers a common ground to various stakeholders through offering a standard structure and a transparent set of proposed HTA questions. It consists of three main components: 1) the HTA ontology, 2) methodological guidance, and 3) a common reporting structure. It covers domains such as effectiveness, safety, and economics, and also includes domains covering organizational, patient, social, and legal aspects. There is a full model and a focused rapid relative effectiveness assessment model, and a third joint action is to continue till 2020. Conclusion: The HTA Core Model is now available for everyone around the world as a framework for assessing value.