阿拉伯联合长国的卫生技术价值判断的门:通过投票会议的共识方法
Sara Aldallal1,2, Mohamed Farghaly3, Sahar Fahmy4
1Dubai Health Authority, Dubai, UAE saaaldallal@dha.gov.ae.
BMJ open
|November 4, 2024
概括
阿联通过专家共识建立了成本效益值 (CET),将其与经济地位和社会价值观联系起来. 这一框架指导了阿联对健康技术的评估.
科学领域:
- 卫生经济学 卫生经济学
- 卫生技术评估 卫生技术评估
- 公共卫生政策 公共卫生政策
背景情况:
- 阿拉伯联合长国 (阿联) 的医疗保健行业需要明确的成本效益值 (CET),以便对医疗技术做出明智的决策.
- 建立CET对于评估阿联不断变化的医疗保健环境中的新健康干预措施的价值至关重要.
研究的目的:
- 为阿联制定和建立量身定制的成本效益值 (CET).
- 协调国家CET与国际标准,同时考虑阿联的特定医疗保健需求和经济条件.
主要方法:
- 一个全面的方法包括文献审查,专家小组商和利益相关方研讨会.
- 与关键利益相关者进行结构化投票,确定了疾病严重程度,罕见性和健康益处的基线值和倍数系统.
- 选择比例或相对缺口方法来评估疾病严重程度.
主要成果:
- 基线CET为0.75倍的人均国内生产总值 (GDP) 按质量调整的寿命年.
- 实施了一种乘数系统,疾病稀有性获得3X的最大乘数,疾病严重程度和健康益处获得2X的最大乘数.
- 严重程度和健康益处的倍数将在连续规模上确定.
结论:
- 拟议的CET框架需要在当地产生成本效益证据,以便在阿联有效实施.
- 建议定期审查CET,以确保政策对动态的医疗保健和经济环境的响应.
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