Health technology assessment capacity to support Zambia's health benefits package reform policy.

IF 2.6 4区 医学 Q2 HEALTH CARE SCIENCES & SERVICES
Warren Mukelabai Simangolwa, Kaymarlin Govender, Josue Mbonigaba
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引用次数: 0

Abstract

Background: The need for more local technical capacity in Health Technology Assessment (HTA) is a leading challenge to its use in low- and middle-income countries. Zambia has been considering using HTA to support its universal health coverage initiative, which includes health benefits package design and implementation. This study assesses the local HTA capacity for the steering committee tasked with supporting the design and implementation of the national health benefits package in Zambia.

Methods: The study applied a cross-sectional web-based survey design and the consensus-based Checklist for Reporting of Survey Studies. Data were collected from the steering committee of the benefits package working group, tasked with leading the design process of the health benefits package using the Instrument for the Assessment of Skills to Conduct a Health Technology Assessment tool.

Results: The majority of respondents had not served on a selection and reimbursement committee. Clinical effectiveness skills in structuring a search strategy, handling missing data, conducting qualitative evidence synthesis, and grading the certainty of evidence were low. Skills for leadership, networking, conflict management, and project coordination, public and patient involvement were mid-level to low. Most of the respondents were aware of ethical issues with health technologies. Health economics skills in economic evaluations and decision analytic modeling, equity and health system efficiency measurement, budget impact analysis, and quality of life were identified for capacity strengthening.

Conclusion: Available technical capacities to revise and implement the national benefits package were lower in health economics, synthesis for clinical effectiveness evidence, ethics, patient and public involvement, and soft skills, in that order.

支持赞比亚一揽子保健福利改革政策的保健技术评估能力。
背景:在卫生技术评估(HTA)方面需要更多的当地技术能力,这是低收入和中等收入国家使用HTA面临的主要挑战。赞比亚一直在考虑利用人道主义援助来支持其全民健康覆盖倡议,其中包括健康福利一揽子计划的设计和实施。本研究评估了负责支持赞比亚国家保健福利一揽子计划的设计和实施的指导委员会的地方卫生服务机构能力。方法:本研究采用基于网络的横断面调查设计和基于共识的调查研究报告核对表。数据是从福利包工作组指导委员会收集的,该工作组的任务是利用《开展卫生技术评估的技能评估工具》领导健康福利包的设计过程。结果:大多数受访者没有在遴选和报销委员会任职。构建检索策略、处理缺失数据、进行定性证据合成和证据确定性分级的临床有效性技能较低。在领导能力、人际关系、冲突管理、项目协调、公众和患者参与方面的技能处于中等到较低水平。大多数答复者都意识到卫生技术的伦理问题。在经济评估和决策分析建模、公平和卫生系统效率测量、预算影响分析和生活质量方面的卫生经济学技能被确定为能力加强。结论:在卫生经济学、临床有效性证据综合、伦理学、患者和公众参与以及软技能方面,修改和实施国家福利计划的现有技术能力较低。
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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