醫療科技評估 Health Technology Assessment
連結醫藥科技研究與政策決定的橋樑 is the systematic evaluation of properties, effects, and/or impacts of health technology

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1. 何謂「醫療科技評估」? What is Health Technology Assessment (HTA)?

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       醫療科技評估(HTA)是系統性的探討使用醫療科技與設備,在操作性能、治療效果、財務衝擊、醫療倫理等各方面所產生的影響;HTA的評估架構是借鑒多元方法學所建立,因此HTA評估作業需跨學科的專業人員協力完成。HTA評估內容主要包括兩大範疇,一是臨床效益分析,又稱作相對療效分析,另一個是經濟分析,包括成本效益分析和財務影響分析。HTA對評估標的沒有預設任何立場,但評估觀點一般是政策導向,以在醫療照顧相關決策制定過程中,提供給決策者一個以科學證據為基礎的決策參考資料。透過醫療科技評估的分析結果,決策者可以明瞭該科技創新的價值、掌握不確定因素、有效管理與分配醫療科技所帶來的契機與挑戰,在資源分配上做出妥適的決策制定。

       世界衛生組織在2011年則為醫療科技評估做了以下的定義:針對醫療科技的屬性、效果,和衝擊影響所進行的系統性評估;評估的結果可協助決策制定者,挑選具有較佳成本效益的新技術,並可避免效益上仍具爭議的項目。對詳細內容有趣者,請自行檢索WHO網頁。

HTA is a systematic evaluation of the health technologies regarding the operational performance, effectiveness and impact of the technology. It is an analytical framework which uses multidisciplinary methodologies. The two major domains of HTA are clinical effectiveness analysis, i.e. efficacy analysis; and economic analysis, which includes cost-effectiveness analysis and budget impact analysis. HTA does not take any default positions during the assessment process, and its perspective is policy-oriented. The main function of HTA is to provide policymakers advisory opinions purely based on scientific evidence during the decision-making process. Based on the HTA results, policymakers will be able to comprehend the value of technological innovation, deal with uncertainties, effectively manage opportunities and challenges caused by health technologies and make appropriate resource allocation.

To get the formal HTA definition by the World Health Organization (WHO), please go to http://www.who.int/health-technology-assessment/en/.