品質,イノベーション,価格相対性:NICEと英国の国民保健サービス
Steven D Pearson1, Michael D Rawlins
1National Institute for Clinical Excellence, London, England. spearson99@yahoo.com
JAMA
|November 24, 2005
まとめ
国立衛生と臨床卓越研究所 (NICE) は,医療の質とイノベーションと費用対効果のバランスをとっています. そのアプローチは,米国保健医療システムにとって貴重な政策の教訓を提供することができる.
科学分野:
- 健康経済学とは
- 保健医療政策について
- 医療技術の評価 医療技術の評価
背景:
- 国立健康と臨床卓越研究所 (NICE) は1999年にイギリス国民保健サービス (NHS) に設立されました.
- NICEは,新しいヘルスケア技術と状態管理の基準を設定する権限があります.
- 研究所は,その評価において,臨床的効果と費用対効果の両方を考慮しなければなりません.
研究 の 目的:
- NICEが,品質,イノベーション,価値のバランスをとるという課題にどのように取り組んできたかを説明します.
- NICEの経験に基づいた米国の潜在的な政策の教訓を探求する.
主な方法:
- この記事では,NICEの運営枠組みと意思決定プロセスを見直しています.
- それは,医療技術と管理条件の評価におけるNICEの歴史的なパフォーマンスを分析しています.
- 比較政策分析は,米国保健医療システムとの類似点と相違点を描くために使用されます.
主要な成果:
- NICEは,臨床効果と費用対効果を統合するための構造的なアプローチを開発しています.
- インスティテュートの評価は,新技術が金銭的な価値を提供することを保証することを目的としています.
- 資源の制限とイノベーションのバランスをとることは,継続的な課題です.
結論:
- NICEの経験は,医療技術の体系的な評価のためのモデルを提供します.
- 品質と価値の確保のための研究所の方法は,米国の医療政策に対する潜在的洞察を提供します.
- NICEのフレームワークを適応させるには,米国のヘルスケアコンテキストを慎重に検討する必要があります.
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