Landscape analysis of health technology assessment (HTA): systems and practices in Asia.
Landscape analysis of health technology assessment (HTA): systems and practices in Asia.
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DOI：
10.1017/s0266462319000667
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发表时间：
2019
影响因子：
3.2
通讯作者：
Babidge W
中科院分区：
文献类型：
--
作者：
Teerawattananon Y;Rattanavipapong W;Lin LW;Dabak SV;Gibbons B;Isaranuwatchai W;Toh KY;Cher BP;Pearce F;Bayani DBS;Nakamura R;Pwu RF;Shafie AA;Adhikari D;Prinja S;Babidge W
本文探讨了亚洲卫生技术评估（HTA）系统和实践的特点。来自九个国家的代表接受了调查，以了解 HTA 途径的每一步。分析发现，尽管 HTA 的流程及其为决策提供信息的应用存在相似之处，但评估的主题数量以及流程每个步骤涉及的利益相关者却存在差异。资源和技术能力有限，各国采取不同的方式来克服这些挑战，接受行业提交的材料或采用其他地区的调查结果。让利益相关者参与选择主题、生成证据和提出资助建议的过程对于确保 HTA 与国家优先事项的相关性至关重要。该分析的经验教训可能对实施 HTA 流程的其他国家具有指导意义，并为未来有关在该地区实施统一 HTA 系统的可行性的研究提供信息。
This paper explores the characteristics of health technology assessment (HTA) systems and practices in Asia. Representatives from nine countries were surveyed to understand each step of the HTA pathway. The analysis finds that although there are similarities in the processes of HTA and its application to inform decision making, there is variation in the number of topics assessed and the stakeholders involved in each step of the process. There is limited availability of resources and technical capacity and countries adopt different means to overcome these challenges by accepting industry submissions or adapting findings from other regions. Inclusion of stakeholders in the process of selecting topics, generating evidence, and making funding recommendations is critical to ensure relevance of HTA to country priorities. Lessons from this analysis may be instructive to other countries implementing HTA processes and inform future research on the feasibility of implementing a harmonized HTA system in the region.