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Reflections on the evolution of health technology assessment in Europe

机译：关于欧洲卫生技术评估发展的思考

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摘要

Health technology assessment (HTA) has assumed an increasing role in health systems in recent years, with many countries establishing agencies or programmes to evaluate health technology and other interventions to inform policy decisions and clinical practice. This paper reflects upon its development and evolution in Europe over the last decade, with a focus on England, France, Germany and Sweden. In particular, we explore how HTA has evolved over time as well as its impact on policy and practice. While countries share many of the same objectives, there are differences in the way HTA agencies and programmes are organised, operate, and influence decision making. Despite these differences, all systems are faced with opportunities and challenges related to stakeholder involvement and acceptance, the suitability and transparency of assessment requirements and methods, balancing evidence and values in decision making, and demonstrating impact.
机译：近年来，卫生技术评估（HTA）在卫生系统中的作用日益增强，许多国家建立了机构或计划来评估卫生技术和其他干预措施，以为政策决策和临床实践提供依据。本文回顾了近十年来它在欧洲的发展和演变，重点是英格兰，法国，德国和瑞典。特别是，我们探讨了HTA随时间演变的方式及其对政策和实践的影响。尽管各国有许多相同的目标，但HTA机构和计划在组织，运作和影响决策方面的方式有所不同。尽管存在这些差异，但所有系统都面临与利益相关者参与和接受，评估要求和方法的适用性和透明性，决策中的证据和价值之间的平衡和证明以及影响相关的机遇和挑战。

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