从干预管理转向疾病管理:一项定性研究探讨了加拿大卫生技术评估的系统方法
Marina Richardson1,2, Beate Sander1,2,3,4, Nick Daneman1,3,4,5
1Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada.
International journal of technology assessment in health care
|November 6, 2023
概括
将健康技术评估 (HTA) 从单一干预转向疾病管理提供了一个动态的方法. 这种基于疾病的策略可以改善决策,以提高患者护理和医疗保健系统效率.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 卫生技术评估 卫生技术评估
- 卫生政策 卫生政策
背景情况:
- 传统的医疗技术评估 (HTA) 侧重于单个干预措施,可能导致决策分散.
- 这可能会导致不理想的患者护理和医疗保健系统效率低下.
研究的目的:
- 探索通过疾病管理镜头与干预管理镜头对健康技术评估 (HTA) 决策进行概念化.
- 确定在HTA中基于疾病的方法的机会.
主要方法:
- 与加拿大国家和省级HTA机构及相关组织的专家进行半结构化采访.
- 雇员手册,对采访数据进行逐行编码,并对调查结果进行独立验证.
主要成果:
- 对HTA的疾病管理方法被描述为基于疾病,多干预和动态.
- 参与者普遍支持HTA的明确护理途径方法,加强对患者选择,次优护理和高成本疾病管理的讨论.
- 在加拿大目前的HTA系统中,有机会将护理途径方法整合到加拿大当前的HTA系统中.
结论:
- 针对HTA的疾病管理框架可以通过支持动态,主动的战略来加强决策.
- 这种方法有可能促进加拿大更有弹性和可持续的医疗保健系统.
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