低收入和中等收入国家卫生技术评估的未来
Javier Guzman1, Victoria Y Fan1, Peter Baker2
1Center for Global Development, Global Health Program, Washington, DC, USA.
Health systems and reform
|October 28, 2024
概括
低收入和中等收入国家 (LMICs) 使用健康技术评估 (HTA) 实现全民健康覆盖. 未来的HTA战略必须灵活,本地化和协作,以改善医疗支出和结果.
科学领域:
- 卫生经济学 卫生经济学
- 卫生政策 卫生政策
- 全球健康 全球健康
背景情况:
- 低收入和中等收入国家 (LMICs) 越来越多地使用健康技术评估 (HTA) 来优先考虑医疗干预措施并实现全民健康覆盖.
- 在LMICs中,HTA已被证明是有效的,从而节省成本和降低药品价格,如泰国和巴西所示.
- 然而,许多LMIC面临着HTA能力和政策整合的挑战,只有53%的国家在覆盖决策中强制考虑HTA.
研究的目的:
- 分析目前的HTA采用情况及其在LMICs中的挑战.
- 建议未来的战略,以优化HTA在LMIC使用,以提高卫生支出效率.
- 强调HTA在实现全民健康覆盖和加强全球卫生安全方面的重要性.
主要方法:
- 审查HTA在LMICs中的作用,以实现全民健康覆盖.
- 在泰国和巴西等国家成功实施HTA的分析.
- 检查LMIC在HTA能力和政策整合方面面临的挑战.
- 在LMICs中确定未来HTA战略的关键要素.
主要成果:
- 医疗药物交易已经证明了显著的成本节约,并促进了LMICs的药物价格降低.
- 相当数量的LMIC缺乏进行HTA或将其调查结果纳入政策的能力.
- 随着COVID-19的流行,人们越来越需要高效的医疗支出和成本效益的干预措施.
结论:
- 低,中等和中等产业国家必须采用敏捷,本地化和协作的HTA方法来克服现有的局限性.
- 优化HTA使用可以带来更好的医疗支出,更好的健康结果和可持续的医疗保健融资.
- 加强HTA能力对于提高LMICs全球卫生安全和弹性至关重要.
相关概念视频
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
01:26Methods Of Healthcare Delivery System
3.2K
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...
3.2K
01:30Current Trends in Nursing II
1.2K
Trends in nursing are multifactorial and associated with changes in society, within the nursing profession, and in other professions. Notably, telehealth and remote nursing contribute to successful healthcare delivery for numerous patients and help reduce stress for nurses due to nursing shortages. Nurses can reach patients, monitor their conditions, and interact with them using computers, audio, visual accessories, and telephones—for example, remote patient monitoring systems. Likewise,...
1.2K
01:30Health Information Technology and Healthcare Information System
805
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:
805
01:30Primary Healthcare Services
1.3K
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...
1.3K
01:21Health Literacy
4.0K
Health literacy is an individual's or a community's capacity to comprehend, receive, read, and use relevant healthcare information and services. The World Health Organization (WHO, 2018) defines health literacy as the cognitive and social skills that determine the ability of individuals to gain access to, understand, and use information in ways that promote and maintain good health. As a result, the WHO helps individuals manage long-term health concerns, participate in preventative...
4.0K