卫生技术评估论文1
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1A checklist for HTA reports –transparency in assessment
卫生技术评估报告清单评估的透明性
David HaileySecond Chinese Health Technology Assessment Forum –workshop
第二届中国卫生技术评估论坛Shanghai, 2005上海,2005
Outline¾Background to the checklist for HTA reports ¾卫生技术评估报告清单的背景¾Intended use¾使用意图¾Guide for local HTA –points relating to local decisions
¾与当地决策相关的卫生技术评估要点指南¾Elements of the checklist
清单的基础
Background to the INAHTA checklist –1国际卫生技术评估组织协会背景清单-1¾INAHTA –International Network of Agencies for Health Technology Assessment¾INAHTA-国际卫生技术评估组织协会¾41 HTA agencies that provide advice to governments ¾41个向政府提供建议的卫生技术评估组织¾Development of checklist followed discussion on potential to standardize HTA methods关于卫生技术评估方法标准化潜力的讨论促进了清单的进一步发展Background to the INAHTA checklist –2国际卫生技术评估组织协会清单的背景-2¾There are detailed guidelines for evaluation of some attributes considered in HTA reports.
¾在卫生技术评估报告中,用于评价一些特征的详尽指南¾However, scope and detail of HTA reports varies, full standardization of methods is not realistic
¾然而,卫生技术评估报告的范围和细节不同,评价方法的完全标准化是不现实的¾Instead, develop a checklist to address minimum or desirable standards for HTA reports
¾作为替代,要开发一个为用于卫生技术评估的最低或者合理标准的清单¾Key to improving the usefulness and generalizability of HTA is transparency in the assessment process
¾提高卫生技术评估的的有效性和普遍性的重点在于评估过程的透明度
Context of the INAHTA checklist国际卫生技术评估组织协会清单的内容¾Detailed guidelines by, for example:
¾详尽的指南,比如:-NHS Centre for Reviews & Dissemination (UK), 英国健康服务评论发布中心--Canadian Coordinating Office for HTA -加拿大卫生技术评估协调办公室--Danish Centre for HTA -丹麦卫生技术评估中心
¾INAHTA document much briefer, complementary to these¾对于他们而言,国际卫生技术评估组织协会的文件更加简明和有补充意义¾Intended to be accessible to a wide audience¾可以让广泛的使用者获取¾Represents consensus between the INAHTA agencies ¾代表了国际卫生技术评估组织协会成员之间的一致认同
Intended use of the checklist清单的使用意图
¾Aid to obtaining a consistent and transparent approach to HTA
¾帮助获得一个统一的和清晰的关于卫生技术评估方法¾Clear identification of what has been done in HTA report and of any significant limitations
¾明确定义了卫生技术评估报告的已经完成的内容和任何明显的局限性¾Intended as a guide both for users of HTA reports and for those who prepare them
¾作为卫生技术评估报告的使用者和准备者的指南¾Guidance on what to look for and on assessing the reliability of the information provided
¾作为要评价什么和评价所提供信息的可靠性的指南¾Not essential for an HTA report to include all the attributes given in the checklist
¾在一个卫生技术评估报告中,并不一定包括所有清单中所提供的特征2
Contents of the checklist清单的内容¾Seventeen questions, most with further information and suggestions
¾17个问题,绝大多数还有更深层次的信息和建议¾Grouped into categories:
¾按照种类分组-Preliminary-预备
-Why ?-为什么?
-How ?-怎么样?
-What ?-什么?
-What then ? -然后呢?
Preliminary information预备信息1,Are there appropriate contact details for provision of further information?
对于未来信息的提供,有没有适当的详细资料?2. Are those who prepared the HTA report identified as authors or in other ways?
是不是把那些准备卫生技术报告的人等同于作者或者别的呢?3. Is there a statement regarding conflict of interest?
关于利益的冲突,有没有一个声明?4. Is there a statement on whether the report has been externally reviewed?
有没有关于报告已经被外部评论过的声明?5. Is there a short summary that can be understood by the non-technical reader?
有没有一个简短的能够被非技术人员能够理解的摘要?
Why the assessment has been undertaken为什么要进行评估?6. Is reference made to the question that is addressed and the context of the assessment?
是不是提供的参考能解决所涉及的问题和评估的内容?7. Is the scope of the assessment specified?评估的范围是否明确?8. Is there a description of the health technology that has been assessed?
有没有对已经评估的卫生技术的描述?
How the assessment has been undertaken评估是如何执行的?9. What sources of information have been used?哪些信息资源被采用?10. Is there information on the process for selecting material for assessment?
是不是有正在为评估挑选材料过程中的信息?11. Is there information on the basis for interpretation of selected data ?
对于解释所挑选的资料,是不是有基础信息?
The results of the assessment评估的结果
12. Are the results of the assessment clearly presented?
评估的结果是否清楚的呈现?
13. Is there interpretation of the assessment results ?
有没有对于评估结果的解释?
Implications of the assessment results and conclusions评估结果和结论的意义
14. Are the findings of the assessment discussed?有没有对评估的发现进行讨论?15. {If relevant to the assessment, are medico-legal implications considered?}
与评估相关的医学法律学意义是否考虑过?16. Are the conclusions from the assessment clearly stated?
有没有清晰的阐明评估结论?17. {Are there suggestions for further action?}对于未来的行动有没有什么建议?