对非药物干预措施进行预算影响分析的方法和实际考虑
Xuanqian Xie1, Jennifer Guo2, Alexis K Schaink2
1Health Technology Assessment Program, Ontario Health, 525 University Avenue, 5th Floor, Toronto, ON, M5G 2L3, Canada. shawn.xie@ontariohealth.ca.
对非药物干预措施的预算影响分析 (BIA) 需要仔细考虑医疗保健系统的能力和干预采用因素. 解决这些方法挑战可以改善对公共支付者的财务影响预测.
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
- 医疗保健管理的管理
背景情况:
- 卫生技术评估 (HTA) 在国家,省和医院层面进行.
- 与药品相比,非药品干预措施的预算影响分析 (BIA) 方法在文献中较少被探索.
- 省级和医院的HTA经常评估非药物干预措施.
研究的目的:
- 审查自2015年以来加拿大省级机构对非药物干预措施的健康技术评估 (HTA).
- 评估与对非药物干预进行预算影响分析 (BIA) 相关的特点和挑战.
- 在医疗保健规划中提供准确的财务预测的方法见解.
主要方法:
- 对非药物干预的已发表的HTA进行系统审查.
- 自2015年以来,加拿大省级HTA机构对BIA进行了分析.
- 干预的分类 (手术,诊断,计划,数字健康) 以确定独特的BIA特征.
主要成果:
- 非药物干预的BIA需要考虑医疗保健系统的容量和人口估计的历史体积.
- 干预措施的采用受到指导方针,实施要求 (劳动力,基础设施) 和目标人口规模的影响.
- 解释成本节约需要明确其来源和重新分配潜力,这也适用于制药HTA.
结论:
- 在非药物干预的BIA中解决特定的方法考虑,可以提高对公共支付者的财务影响预测.
- 改进的BIA方法可以指导医疗保健系统规划的有效预算分配.
- 这些发现支持对更广泛的医疗保健技术进行更强大的财务评估.
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