基于证据的UHC审议程序:进展,潜力和审慎性 评论"基于证据的健康福利包设计审议程序 - 第二部分:实用指南"
1Global Health Cluster, Division for Health Services, Norwegian Institute of Public Health, Oslo, Norway.
在全球范围内,以证据为基础的审议过程 (EDP) 有助于做出健康益处包的决定. 对EDP的战略投资可以增强现有的公平医疗保健准入和决策框架.
科学领域:
- 卫生政策 卫生政策
- 卫生经济学 卫生经济学
- 决策科学 决策科学 决策科学
背景情况:
- 基于证据的审议过程 (EDP) 对于健康福利套餐决策至关重要.
- 卫生技术评估 (HTA) 机构是成熟卫生系统的关键.
- 利益相关者的参与对于实现全民健康覆盖 (UHC) 的公平进展至关重要.
研究的目的:
- 检查在8个拥有已建立HTA机构的国家中EDP的应用情况.
- 评估EDP如何解决利益相关者参与公平的UHC的问题.
- 探索EDP内部的权衡,以及扩大其范围超出HTA的必要性.
主要方法:
- 分析了8个国家的EDP实施情况.
- 关于利益相关者参与健康益处设计的文献审查.
- 在HTA过程中对EDP进行比较检查.
主要成果:
- 在全球范围内,EDP已经显著推进了健康益处设计.
- 在EDP中,包容性是有价值的,但需要注意权衡.
- 电子发电程序显示出超出HTA特定应用的潜力.
结论:
- EDP是健康福利设计的有效工具,有助于公平的UHC.
- 对EDP的审慎投资应该利用和加强现有的立法和制度框架.
- 未来的努力应扩大审查过程的范围,以确保公平和合法的医疗保健决策.
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