在中国引入医院医疗技术评估:来自七家试点医院的经验
Lanting Lyu1,2, Wenkai Shi3, Kristian Kidholm4
1School of Public Administration and Policy, Renmin University of China, Beijing, China.
International journal of technology assessment in health care
|January 28, 2024
概括
中国的一项医院医疗技术评估 (HB-HTA) 试点项目显示出不同的结果,其中一些经济效率提高,但缺乏成本效益分析. 制定了政策建议,以应对实施HB-HTA的挑战.
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
- 医院管理 医院管理
背景情况:
- 中国的医疗保健系统正在迅速发展,需要有效的资源配置.
- 医院医疗技术评估 (HB-HTA) 对于明智的决策至关重要.
- 启动了一项试点计划,以探索在中国三级医院的HB-HTA实施.
研究的目的:
- 在中国推出一项基于医院的医疗技术评估 (HB-HTA) 试点计划.
- 记录和分析七家三级医院参与者的经验.
- 确定挑战,并为中国的HB-HTA提供政策建议.
主要方法:
- 一个为期一年的试点计划于2018年初启动.
- 涉及七家三级医院的案例研究.
- 通过采访医院管理人员和HTA团队,实地观察和审查HTA报告来收集数据.
主要成果:
- 试点项目评估了医疗耗材,手术干预和呼吸机管理模型.
- 评估使用了现实世界的数据.
- 经济效率的显著提高被观察到,与缺乏成本效益分析等缺陷一起.
结论:
- 试点HB-HTA项目在七家医院中产生了不同的结果.
- 该计划旨在促进HB-HTA在中国医院决策中的采用.
- 在中国,HB-HTA仍面临挑战,需要进行政策调整.
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