GUO Xue , LIU Qin , YU Xiaoyu , YUAN Baocheng , WANG Yang , WANG Runhua
  • School of Public Health and Management, Chongqing Medical University, Chongqing 400016, China;
LIU Qin, Email: liuqin81622@163.com
Appropriate health technology; Health technology assessment; Systematic review
10.7507/1672-2531.20120220
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Objective 　To comprehensively summarize and analyze the status quo, assessing contents and problems of the assessment studies on appropriate health technology in China.
Methods 　With the search terms and strategies predefined by repeated discussion and pre-retrieval, all literature on appropriate health technology assessment in China published from October 1949 to March 2012 were searched in the following databases: CBM, VIP, CNKI and WanFang Data. According to the inclusion and exclusion criteria, two reviewers independently screened literature, and extracted and cross-checked data. Disagreements were resolved by discussion or by involving a third researcher. The qualitative synthesis method was used to analyze the studies.
Results 　Among total 174 included studies, 117 were cross-sectional. Targeted populations were patients and community residents who had received the service or treatment of appropriate health technology, as well as the grassroots medical staffs and workers from marketing organization who had used or carried out the appropriate health technologies. Appropriate health technologies mainly contained four fields of appropriate health technology: traditional Chinese medicine, western medicine, family planning services and community health services. Most types of diseases involved in those technologies were circulatory system diseases, and high blood pressure was highly concerned. The contents of appropriate health technology assessment mainly included 6 aspects: effectiveness, acceptability, economic characteristics, requirements, safety and technical specific property. The results of the included studies indicated that, most assessments focused on just one aspect, and were lack of comprehensive evaluation. The indexes used in each assessment covered a far too wide range, and was lack of unified index and standards.
Conclusion 　Current studies show that the fields of appropriate health technology assessment distribute widely; the assessment content is simple and lack of comprehensive evaluation; the assessment index system has no unified standard; and the study design methods are different and lack of high quality study design. So it is necessary to conduct high quality assessment studies, establish scientific assessment index system, and systematically assess appropriate health technology, so as to provide more scientific basis for health decision makers.

Citation： GUO Xue,LIU Qin,YU Xiaoyu,YUAN Baocheng,WANG Yang,WANG Runhua. Appropriate Health Technology Assessment Studies in China: A Systematic Review. Chinese Journal of Evidence-Based Medicine, 2012, 12(12): 1407-1415. doi: 10.7507/1672-2531.20120220 Copy

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