质量,创新和金钱的价值:NICE和英国国家卫生服务局
Steven D Pearson1, Michael D Rawlins
1National Institute for Clinical Excellence, London, England. spearson99@yahoo.com
JAMA
|November 24, 2005
概括
美国国家卫生与临床卓越研究所 (NICE) 以成本效益平衡医疗保健质量和创新. 它的方法可能为美国医疗保健系统提供有价值的政策教训.
科学领域:
- 卫生经济学 卫生经济学
- 医疗保健政策 医疗保健政策
- 卫生技术评估 卫生技术评估
背景情况:
- 国家卫生与临床卓越研究所 (NICE) 于1999年在英国国家卫生服务机构内成立.
- 尼斯 (NICE) 的任务是制定新医疗技术和条件管理的标准.
- 该研究所必须在评估中考虑临床有效性和成本效益.
研究的目的:
- 描述NICE如何解决平衡质量,创新和金钱价值的挑战.
- 根据NICE的经验,探索美国的潜在政策教训.
主要方法:
- 这篇文章回顾了NICE的运营框架和决策流程.
- 它分析了NICE在评估卫生技术和管理条件方面的历史表现.
- 使用比较政策分析,与美国医疗保健系统进行对比和对比.
主要成果:
- 尼斯 (NICE) 已经制定了一种结构化的方法来整合临床有效性和成本效益.
- 该研究所的评估旨在确保新技术提供价值.
- 平衡创新与资源限制是一个持续的挑战.
结论:
- 尼斯的经验为系统的医疗技术评估提供了一个模型.
- 该研究所确保质量和价值的方法为美国医疗保健政策提供了潜在的见解.
- 调整NICE的框架需要仔细考虑美国的医疗保健环境.
相关概念视频
Secondary Healthcare System
Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
Healthcare Agencies I
Healthcare agencies provide healthcare services to people. In the United States, voluntary agencies are often non-profit centers sponsored by donations, grants, or fundraisers. One such organization is Meals on Wheels, which provides meals to the elderly and homebound. The American Heart Association and the American Lung Association are other non-profit community organizations. Doctors and nurses are frequently active members of these organizations, which offer health checks and educational...
Integrated Healthcare System
An integrated healthcare system (IHS) is a set of organizations that provides for or arranges to provide coordinated and continuous service to a defined population. The IHS takes responsibility for that particular population's health status and outcome, both clinically and fiscally. An integrated healthcare system is a well-organized, well-coordinated, and collaborative network. The integrated delivery system is a network that connects different healthcare providers to deliver organized,...
Hospitals-II
Hospitals provide inpatient and outpatient services. Inpatient services provide care to patients that stay in the hospital for an extended period, ranging from days to months. Examples of inpatient services include intensive care units, hospital wards, or surgeries. Outpatient services provide care to patients who come to a hospital for a diagnostic or treatment but do not stay overnight —for example, diagnostic tests, surgical procedures, or health education.
Nurses that work in hospitals have...
Nurses that work in hospitals have...
Health Information Technology and Healthcare Information System
Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Nursing Clinical Information System
Nursing Clinical Information System (NCIS)
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:


