Mapping frameworks for synthesizing qualitative evidence in health technology assessment.

IF 2.6 4区 医学 Q2 HEALTH CARE SCIENCES & SERVICES
Marilia Mastrocolla de Almeida Cardoso, Rafael Thomaz Marques, Juliana Machado-Rugolo, Lehana Thabane, Vilanice Alves de Araújo Püschel, Silke Anna Theresa Weber, Rosimary Terezinha Almeida, Graciela Paula do Nascimento Duque, Cristiane Cardoso De Paula, Luciane Cruz Lopes, Mariana Gabriel, Sybelle Drumond, Clarice Maria Rodrigues, Meredith Vanstone
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引用次数: 0

Abstract

Objectives: Health Technology Assessment (HTA) practitioners recognize the significance of qualitative methodologies that focus on how a technology is feasible, meaningfulness, acceptable, and equitable. This mapping aimed to delineate the frameworks employed to synthesize qualitative evidence and assess the quality of synthesis in HTA .

Methods: Mapping was conducted using Medline, LILACS, CINAHL, Embase, Web of Science, Scopus, PsycINFO, Cochrane Library, JBI, and ScienceDirect databases. Gray literature searches included PROQUEST, Open Grey, Canadian Agency for Drugs and Technologies in Health's Grey Matters, Google Scholar, and HTA agency websites. The inclusion criteria were centered on global qualitative evidence synthesis frameworks. The data are presented in the tables.

Results: Of the 2054 articles, 31 were included, mostly from Europe. Guide was the type of document more cited, and most authors are from HTA agencies and universities. Incorporating both patient and family perspectives is the most cited reason for include qualitative evidence. Regardless of the framework or tool, SPICE was the main acronym, and RETREAT was preferred for approach selection. Thematic synthesis dominated analytic methods, and CASP was the primary quality appraisal tool. GRADE-CERQual graded evidence synthesis, with ENTREQ as the top reporting guidance. The GRADE evidence-to-decision framework was mentioned for recommendations.

Conclusion: This mapping highlights the movement incorporate qualitative evidence in HTA employing specific frameworks. Despite the similarities among documents, most of them describe part of the process to synthesize qualitative evidence. Standardizing procedures to incorporate qualitative evidence into HTA can enhance decision-making. These findings offer essential considerations for HTA practice.

绘制卫生技术评估中的定性证据综合框架。
目标:健康技术评估(HTA)从业人员认识到定性方法的重要性,这些方法关注技术的可行性、意义、可接受性和公平性。本图谱旨在划定用于综合定性证据的框架,并评估 HTA 综合的质量:使用 Medline、LILACS、CINAHL、Embase、Web of Science、Scopus、PsycINFO、Cochrane Library、JBI 和 ScienceDirect 数据库进行了绘图。灰色文献检索包括 PROQUEST、Open Grey、加拿大药物与健康技术局的 Grey Matters、谷歌学术和 HTA 机构网站。纳入标准以全球定性证据综合框架为中心。结果见表:在 2054 篇文章中,有 31 篇被收录,大部分来自欧洲。指南》是被引用较多的文献类型,大多数作者来自 HTA 机构和大学。纳入患者和家属的观点是引用定性证据最多的原因。无论采用哪种框架或工具,SPICE 都是主要的缩写,而 RETREAT 则是选择方法时的首选。专题综合是主要的分析方法,CASP是主要的质量评估工具。GRADE-CERQual 对证据综合进行分级,ENTREQ 是最重要的报告指南。结论:该图谱强调了将定性证据纳入采用特定框架的 HTA 的动向。尽管文件之间存在相似之处,但大多数文件都描述了综合定性证据的部分过程。将定性证据纳入 HTA 的程序标准化可促进决策。这些发现为 HTA 实践提供了重要的考虑因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
International Journal of Technology Assessment in Health Care
International Journal of Technology Assessment in Health Care 医学-公共卫生、环境卫生与职业卫生
CiteScore
4.40
自引率
15.60%
发文量
116
审稿时长
6-12 weeks
期刊介绍: International Journal of Technology Assessment in Health Care serves as a forum for the wide range of health policy makers and professionals interested in the economic, social, ethical, medical and public health implications of health technology. It covers the development, evaluation, diffusion and use of health technology, as well as its impact on the organization and management of health care systems and public health. In addition to general essays and research reports, regular columns on technology assessment reports and thematic sections are published.
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