(三)实践指导
编写“卫生问题和当前技术使用”的操作步骤如下:
(1)从EUnet HTA卫生技术评估核心模型中选择主题。
(2)从数据源检索数据。
(3)评估所检索信息的质量。
(4)运用工具进行分析和合成。
(5)报告结果。
需要注意的是,早期版本的卫生技术评估核心模型手册包含的实用指导链接。由于有时用户很难确定实际指南的来源,因此这些链接现已删除。有关实践指南,请参阅各个应用程序,网址为www.corehta.info。
表17至表20详述了该结构域的必要信息和步骤。
表17 主题选择和信息检索

(续表)

(续表)

表18 质量评估工具或标准*

(续表)

*表的第二列中报告了描述不同要素研究的特点和数据来源。
**STROBE(strengthening the reporting of observational studies in epidemiology)加强观察性流行病学研究报告
表19 分析与整合*

*整合类型建议见第二列。
表20 报告

(续表)

参考文献
① Bossuyt PM,Irwig L,Craig J,Glasziou P.Comparative accuracy:assessing new tests against existing diagnostic pathways.BMJ 2006 6;332:1089-92.
②Brouwers M,Kho ME,Browman GP,Burgers JS,Cluzeau F,Feder G,Fervers B,Graham ID,Grimshaw J,Hanna S,Littlejohns P,Makarski J,Zitzelsberger L for the AGREE Next Steps Consortium.AGREE II: Advancing guideline development,reporting and evaluation in healthcare.Can Med Assoc J.2010.Dec 2010;182:E839-842;doi:10.1503/090449
③ Model for Rapid REA of pharmaceuticals.EUnet HTA 2013.Available at http://www.eunethta.eu/outputs/new-application-hta-core-model-hta-core-model-rapid-relative-effectiveness-assessmentpharma;last access May 10th 2013.
④ HTA Core Model Handbook(1.5,8 Apr 2014:Updated to match current features of the Online Tool).EUnet HTA 2014.Available at https://meka.thl.fi/htacore/View Handbook.aspx;last access Febrary 13th 2015.
⑤ HTA Core Model For Screening Technologies(1.5,8 Apr 2014:Updated to match current features of the Online Tool).Available at http://www.eunethta.eu/outputs/final-hta-core-model-screeningtechnologies;last access Febrary 13th 2015.
⑥ Assessment Element for Diagnostic Technologies.(1.5,8 Apr 2014:Updated to match current features of the Online Tool).Available at https://meka.thl.fi/htacore/View Handbook.aspx?full=1&id=6;last access Febrary 13th 2015Assessment Element for Screening Technologies(1.5,8 Apr 2014:Updated to match current features of the Online Tool)Available at https://meka.thl.fi/htacore/View Handbook.aspx?full=1&id=6;last access Febrary 13th 2015.
⑦Assessment Element for Medical and Surgical Interventions(1.5,8 Apr 2014:Updated to match current features of the Online Tool).Available at https://meka.thl.fi/htacore/View Handbook.aspx?full=1&id=6;last access Febrary 13th 2015.
⑧von Elm E,Altman DG,Egger M,Pocock SJ,Gøtzsche PC,Vandenbroucke JP;STROBE Initiative.
⑨ The Strengthening the Reporting of Observational Studies in Epidemiology(STROBE)statement:guidelines for reporting observational studies.Lancet.2007 Oct 20;370(9596):1453-7.PMID:18064739
⑩ Wells GA.Shea B,O'Connell D,Peterson J,Welch V,Losos M,Tugwell P.The Newcastle-Ottawa Scale(NOS)for assessing the quality of nonrandomised studies in meta-analyses.Available from www.ohri.ca/programs/clinical_epiddemiology/oxford.htm;last access May 10th 2013.