在国家一级制定卫生技术采用的优先事项:25年经验的经验教训
Osnat Luxenburg1, Tal Morginstin1, Vicki Myers2,3
1Medical Technology, Health Information and Research Directorate, Ministry of Health, Jerusalem, Israel.
以色列的以色列 以色列的以色列.
科学领域:
- 卫生技术评估 卫生技术评估
- 公共卫生政策 公共卫生政策
- 卫生经济学 卫生经济学
背景情况:
- 以色列的公共资助医疗服务篮子需要优先考虑的机制.
- 自1999年以来,卫生技术评估 (HTA) 过程已被实施和优化.
- 这项研究分析了以色列HTA模型在20多年的成果和好处.
研究的目的:
- 描述以色列用于评估新卫生技术的HTA过程.
- 分析以色列HTA模型的输出和好处.
- 将以色列HTA模型的关键特征与国际实践进行比较.
主要方法:
- 追溯数据收集从1998年到2023年.
- 分析工作流程,委员会组成和申请批准率.
- 使用基于证据的审议过程 (EDP) 框架进行评估.
主要成果:
- 国家模式确保了参与,透明和及时的流程.
- 每年的批准率从11%到19%不等,主要是药品.
- 已批准的技术,特别是瘤学,心脏病学和神经病学,被快速采用,在没有额外预算的情况下增加了26%.
结论:
- 以色列的HTA模型促进了在预算限制范围内就技术融资达成共识.
- 该过程优先考虑透明度和利益相关者的参与,以实现最佳的资源配置.
- 这种模式有助于提高国家卫生水平,尽管支出相对较低.
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