Оценка на въздействието на оценката на здравните технологии
Abstract
Въведение: Определяща въздействието на докладите за оценка на здравните технологии (ОЗТ) е непосредствената връзка между ОЗТ структурата и отговорните за провеждането на политики и вземането на решения в здравеопазването. Необходима е ясно определена "ОЗТ рамка на възприемчивост" за интегриране на ОЗТ информацията при вземането на решения чрез изследване на средата, в която ще бъде използвана технологията.
Цел: Това проучване има за цел да идентифицира и критично анализира процесите, които улесняват и/или възпрепятствт оценката на въздействието на ОЗТ.
Материал и методи: Извършено е международно уеб-базирано проучване на ОЗТ организации с разнообразен профил. В периода 2013 – 2015 г. се проведе обширно проучване на ОЗТ дейностите в 386 организации от 83 държави, включително 11 международни организации. Данните са получени от полу-структуриран въпросник, който съдържа 102 въпроса.
Резултати: От подадената от респондентите (n=81, 72.97%) информация става ясно, че включването на показатели за оценка на въздействието в продуктите/услугите на организациите не е широко застъпена практика, поради преобладаващо отрицателните (n=44, 54.32%) в сравнение с положителните (n=24, 29.63%) отговори. Според респондентите (n=41, 36.94%) критерият, който най-често се включва за оценка на въздействието на препоръките, е отчитане на промените в медицинската практика преди и след препоръката (n=22, 53.66%). Подалите отговор респонденти (n=82, 73.87%) най-често определят въздействието от препоръките като "средно" (n=37, 45.12%) или "силно" (n=30, 36.59%).
Заключение: Процесите на вземане на решения и използването на доказателства, като обект на сериозни аналитични практики, следва да се тестват в реални условия за увеличаване на въздействието на ОЗТ резултатите във вземането на решения за различните нива на въвеждане на технологията.
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