在HTA方法中反映社会价值观:南非的一个案例研究
Peter Murphy1, Celeste Holden2, Yirui Qian3
1Centre for Health Economics, University of York, York, YO10 5DD, UK. peter.murphy@york.ac.uk.
Applied health economics and health policy
|July 14, 2025
概括
南非正在开发将社会价值观纳入卫生技术评估 (HTA) 的方法. 这项研究确定了经济评估方法,以将南非价值观和伦理为全民健康覆盖 (SAVE-UHC) 框架纳入HTA流程.
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
- 社会价值评估的社会价值评估
背景情况:
- 南非正在建立一个新的卫生技术评估 (HTA) 机构.
- 南非价值观和伦理为全民健康覆盖 (SAVE-UHC) 框架旨在定义优先设置的社会价值观.
- 将社会价值观纳入HTA需要强有力的经济评估方法,这些方法目前还不发达.
研究的目的:
- 确定并提出经济评估方法,以将SAVE-UHC价值属性纳入HTA.
- 在南非的HTA过程中制定一个务实的方法来运用社会价值观.
主要方法:
- 一个映射练习将SAVE-UHC元素与现有的价值评估属性联系起来.
- 专家调查和研讨会进行,以确定和完善方法.
- 结果被编制成一个方法清单,用于测量,估值和将SAVE-UHC元素纳入经济评估.
主要成果:
- 为测量和估值SAVE-UHC元素制造了一份全面的方法清单.
- 确定的方法包括健康结果,健康的分布,财务风险,医疗保健利用率,福利,成本,绩效指标和约束.
结论:
- 这项研究提供了一系列在南非正在发展的HTA系统中实施SAVE-UHC的方法.
- 提出的方法可以指导其他国家将其价值评估框架整合到HTA中.
- 在HTA中运用社会价值观对于公平的医疗保健优先设定至关重要.
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