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医院卫生技术评估研究方法的循证分析

Evidence-Based Analysis of Research Methods for Hospital-Based Health Technology Assessment

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目的 循证分析医院卫生技术评估(HB-HTA)的研究方法.方法 检索HB-HTA实证研究文献,提取文献中关键信息,运用证据综合方法循证分析HB-HTA的研究方法.结果 共纳入73篇文献,其中42项研究在我国开展.文献类型最多的为Mini-HTA报告,其次为快速HTA报告.完整的HB-HTA报告、Mini-HTA报告和快速HTA报告的决策准则各有侧重,有效性、安全性、经济性是各类评估报告关注的属性.HB-HTA与决策情境相结合,其证据来源丰富.结论 HB-HTA处于快速发展期,开展形式灵活多样,采用多维度价值评估的方法.研究者需结合决策需求选择合适的方法,获取多维度证据,为医院新技术准入提供决策支持.
Objective To conduct an evidence-based analysis of the research methods used in Hospital-Based Health Technology Assessment (HB-HTA). Methods A comprehensive literature search was conducted to identify HB-HTA studies. Key information from included literatures was extracted,the methodology of HB-HTA studies by the evidence synthesis methods were synthesized. Results A total of 73 literatures were included,with 42 studies car-ried out in China. The predominant types of literature were Mini-HTA reports,followed by rapid HTA reports. The decision-making criteria varied across complete HB-HTA reports,Mini-HTA reports,and rapid HTA reports,with effectiveness,safety,and economy being the most frequently addressed attributes. HB-HTA integrated decision-making contexts and drew from a wide range of evidence. Conclusion HB-HTA is experiencing rapid development,characterized by flexibility and diversity in its forms,which uses multi-dimensional value assessment methods. Re-searchers need to choose appropriate methodologies based on decision-making needs,gather multi-dimensional evi-dence,and provide decision support for hospital new technologies access.

Hospital-Based Health Technology AssessmentMethodologyNew TechnologiesDecision Criteria

耿劲松、唐密、杨海、金春林、何江江

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南通大学医学院 江苏 南通 226001

上海市卫生和健康发展研究中心(上海市医学科学技术情报研究所) 上海 200031

上海市第六人民医院 上海 200233

医院卫生技术评估 方法学 新技术 决策准则

2024

中国卫生质量管理
中国医院协会,陕西省人民医院

中国卫生质量管理

CSTPCD
影响因子:1.091
ISSN:1006-7515
年,卷(期):2024.31(12)