在低收入或中等收入国家的基本健康福利套餐设计中,HTA的作用
Ole F Norheim1,2, David A Watkins1,3,4
1Bergen Centre for Ethics and Priority Setting (BCEPS), Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway.
Health systems and reform
|November 10, 2023
概括
卫生技术评估 (HTA) 有助于卫生福利套餐 (HBP) 设计,在低收入和中等收入国家实现全民健康覆盖 (UHC). 分隔式方法平衡了成本效益,公平性和预算限制,以更好地确定优先级.
科学领域:
- 卫生经济学 卫生经济学
- 卫生政策 卫生政策
- 公共卫生 公共卫生
背景情况:
- 医疗技术评估 (HTA) 传统上是对个体医疗干预措施的评估.
- 卫生福利套餐 (HBP) 设计侧重于为人口健康需求和资源分配提供综合性服务套件.
- 低收入和中等收入国家 (LMICs) 面临着当地数据和HTA和HBP设计技术能力的挑战.
研究的目的:
- 探索HTA和HBP设计之间的关系,以实现LMICs的全民健康覆盖 (UHC).
- 提出一个实用的方法,将HTA和HBP元素整合到基于证据的优先设定中.
主要方法:
- 概念性评论分析了HTA和HBP设计之间的协同作用.
- 建议对HBP改革采取混合或分隔的方法.
- 建议为特定的医疗保健平台或计划设定差异化的成本效益值.
主要成果:
- 在资源有限的环境中,HTA可以显著地告知HBP设计,以推进UHC目标.
- 分隔式方法允许根据组织,道德和实施因素量身定制的优先级.
- 这种方法提高了对预算限制的考虑和HBP发展中的公平性.
结论:
- 将HTA原则集成到HBP设计中,对于在LMIC中实现UHC至关重要.
- 一个细分战略提供了一个实用的框架,在预算限制内以证据为基础确定优先事项.
- 加强机构和学术支持对于成功实施这些方法至关重要.
相关概念视频
01:26Methods Of Healthcare Delivery System
3.3K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.3K
01:30Health Information Technology and Healthcare Information System
847
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:
847
01:29Issues And Trends In Healthcare Delivery System
5.6K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
5.6K
01:30Primary Healthcare Services
1.4K
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
1.4K
01:18Introduction To Health Care Delivery System
2.8K
The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
2.8K
01:28International Nursing Organizations II
1.0K
The World Health Organization (WHO) is a specialized agency of the United Nations based in Geneva. The WHO has many initiatives that center around health. Primarily, they lead global efforts to expand universal health coverage using science-based policies and programs. They are also responsible for shaping health research agendas and developing norms and standards.
The WHO provides expert team support, including funding, vaccines, testing, and treatment tools at the country level to fight...
The WHO provides expert team support, including funding, vaccines, testing, and treatment tools at the country level to fight...
1.0K