Standards for the conduct and reporting of health technology assessments: Ghana reference case of HTA and economic evaluations.

IF 2.6 4区 医学 Q2 HEALTH CARE SCIENCES & SERVICES
Richmond Owusu, Brian Adu Asare, Genevieve Cecilia Aryeetey, Ivy Amankwah, Emmanuella Abassah-Konadu, Godwin Gulbi, Saviour Yevutsey, Sergio Torres Rueda, Joseph Kazibwe, Francis Ruiz, Joycelyn Zeez, Justice Nonvignon
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引用次数: 0

Abstract

Background: The methods of economic evaluation and HTA should be based on best practices and standards, tailored to unique country contexts that can be systematically applied to inform decisions. This paper outlines standards for the conduct of economic evaluations for HTA in Ghana.

Methods: A five-step process was followed to develop the HTA reference case as a methodological and reporting benchmark. These include (a) a review of literature and evidence synthesis, (b) a review of country policies, (c) a review and adaption of international frameworks, (d) expert/stakeholder consultations, and (e) the development of a methodological framework. A series of stakeholder consultations were done to refine, finalize, and validate the outcomes of the processes to generate a finalized reference case.

Results: The Ghana reference case is made up of 14 components comprising: evidence synthesis, evaluation type, perspectives on cost, perspectives of outcomes, choice of comparator, data sources, outcome measures, discount rate, uncertainty, equity considerations, time horizon, heterogeneity, transparency, and budget impact. These provide methodological considerations and reporting requirements for economic evaluations for HTA. It provides a framework to ensure the best research methods are adopted to harmonize the evidence-generation process with the expectations of policy and decision-makers and ensure that policy decisions are based on uniform evidence.

Conclusion: Recommendations set out in this reference case when followed can provide context-specific evidence to support a rigorous and transparent system for evaluating healthcare interventions and technologies. It will support decision-making, ultimately improving the quality and efficiency of healthcare delivery in the country.

卫生技术评估的行为和报告标准:卫生技术评估和经济评估的加纳参考案例。
背景:经济评价和卫生评价的方法应以最佳做法和标准为基础,根据独特的国家情况量身定制,可以系统地应用于决策。本文概述了在加纳开展HTA经济评估的标准。方法:采用五步流程制定HTA参考病例,作为方法学和报告基准。这些工作包括(a)文献和证据综合审查,(b)国家政策审查,(c)国际框架审查和调整,(d)专家/利益攸关方磋商,以及(e)方法框架的制定。一系列的涉众咨询被完成,以完善、最终确定和验证过程的结果,以生成最终的参考案例。结果:加纳参考案例由14个部分组成,包括:证据综合、评估类型、成本视角、结果视角、比较国选择、数据来源、结果测量、贴现率、不确定性、公平考虑、时间跨度、异质性、透明度和预算影响。这些为HTA的经济评估提供了方法学上的考虑和报告要求。它提供了一个框架,以确保采用最佳研究方法,使证据生成过程与政策制定者和决策者的期望相协调,并确保政策决定基于统一的证据。结论:如果遵循本参考案例中提出的建议,可以提供具体情况的证据,以支持严格和透明的系统来评估卫生保健干预措施和技术。它将支持决策,最终提高该国医疗保健服务的质量和效率。
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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