推进不丹的循证决策：制定卫生技术评估框架

IF 5 Q1 HEALTH CARE SCIENCES & SERVICES The Lancet regional health. Southeast Asia Pub Date : 2024-10-18 DOI:10.1016/j.lansea.2024.100489

Annapoorna Prakash , Pempa , Tshering Duba , K C Sarin , Saudamini Vishwanath Dabak , Ugyen Tashi

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引用次数: 0

摘要

不丹目前正在改革其卫生系统，并已更新了其卫生技术评估（HTA）框架。此次修订旨在确定卫生举措的优先次序，确保卫生系统的可持续性。更新后的框架是通过迭代过程制定的，其中包括案头审查以及在制定框架草案之初和之后与利益相关者的磋商。该框架概述了 HTA 流程的各个阶段，并确定了利益相关者的作用和责任。该框架已根据不丹的需求进行了调整，并得到了卫生部门高层决策机构的认可。该经验强调了各种挑战和解决方案，包括为实现 HTA 制度化而开展的国际合作，从这一过程中吸取的经验教训为其他环境下的 HTA 工作提供了启示。

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Advancing evidence-based decision-making in Bhutan: development of a health technology assessment framework

Bhutan is currently transforming its health system and has updated its Health Technology Assessment (HTA) framework. This revision is designed to prioritize health initiatives and ensure the sustainability of the health system. This updated framework has been developed through an iterative process involving a desk-based review and stakeholder consultations at the beginning and after the development of the draft framework. The framework outlines the stages of the HTA process and identifies the stakeholders with their roles and responsibilities. The framework has been contextualised to Bhutan's needs and has been endorsed by the high-level decision-making authority for the health sector. The experience highlights diverse challenges and solutions including international collaborations for the institutionalisation of HTA and the lessons learned from this process offer insights for HTA efforts in other settings.