在乌克兰建立一个独立的HTA机构:治理,运营和长期可持续性的概念框架
Rabia Sucu1, Daniel Erku2,3, Olena Filiniuk4
1Health Economics and Financing, Global Health Systems Innovation, https://ror.org/00wf4pt88Management Sciences for Health, USA.
International journal of technology assessment in health care
|December 11, 2025
概括
乌克兰将在2026年之前建立一个独立的卫生技术评估 (HTA) 机构. 这个框架指导了它的形成,旨在建立基于证据的医疗保健和系统弹性.
科学领域:
- 卫生政策和系统研究 卫生政策和系统研究
- 卫生经济学 卫生经济学
- 公共卫生 公共卫生
背景情况:
- 卫生技术评估 (HTA) 在2017年在乌克兰立法,并在2020年对药物强制性.
- 计划在2022年实施一个独立的HTA机构,由于COVID-19大流行和持续的入侵而推迟.
- 内决议要求在2026年1月之前建立一个自治的HTA机构.
研究的目的:
- 为建立乌克兰独立的HTA机构制定一个战略性,基于证据的框架.
- 为该机构的形成提出治理结构和运营路线图.
- 确保该机构融入国家政策流程,以基于证据的决策.
主要方法:
- 提出了一个两层结构,将核心业务功能 (HTA,评估,准则制定,定价,上市) 与支持业务功能 (数据,金融,IT,人力资源,法律,通信) 分开.
- 该提案基于乌克兰2018年国家药品获取战略,2022年药品法和国际最佳实践.
- 为确保透明度和效率,为每个部门定义了明确的任务和绩效指标.
主要成果:
- 一个分阶段的路线图 (2025-2027) 详细说明了法律,制度和财务实施步骤.
- 确定了诸如国际伙伴关系和系统改革等关键机遇.
- 评估了潜在的风险,包括资金不确定性,劳动力限制和地缘政治不稳定性.
结论:
- 将HTA纳入国家政策,确保机构独立对于乌克兰至关重要.
- 这将提高医疗保健投资的价值.
- 它还将在乌克兰卫生系统内建立长期的弹性.
相关概念视频
Drug Control Governance: Regulatory Bodies and Their Impact
462
Drug control governance involves the oversight and regulation of pharmaceuticals to ensure their safety and efficacy while preventing illegal drug use and trafficking. Regulatory bodies, including the US Food and Drug Administration (FDA) and the European Union's European Medicines Agency (EMA), play a central role in this process. These agencies evaluate the safety and efficacy of drugs before they can be marketed. They fund clinical trials and assess the benefits and risks associated with...
462
Primary Healthcare Services
1.9K
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...
1.9K
Healthcare Agencies II
1.0K
There are various healthcare agencies in the United States—some of which are managed by religious institutions and others by different government branches.
Parish nursing is a growing specialty nursing profession that focuses on holistic healthcare, health promotion, and illness prevention. It blends professional nursing practice with a health ministry, focusing on health and healing within the context of a Christian community. Parish nurses serve as health educators, referral sources,...
Parish nursing is a growing specialty nursing profession that focuses on holistic healthcare, health promotion, and illness prevention. It blends professional nursing practice with a health ministry, focusing on health and healing within the context of a Christian community. Parish nurses serve as health educators, referral sources,...
1.0K
Integrated Healthcare System
2.3K
An integrated healthcare system (IHS) is a set of organizations that provides for or arranges to provide coordinated and continuous service to a defined population. The IHS takes responsibility for that particular population's health status and outcome, both clinically and fiscally. An integrated healthcare system is a well-organized, well-coordinated, and collaborative network. The integrated delivery system is a network that connects different healthcare providers to deliver organized,...
2.3K
International Nursing Organizations II
1.3K
The World Health Organization (WHO) is a specialized agency of the United Nations based in Geneva. The WHO has many initiatives that center around health. Primarily, they lead global efforts to expand universal health coverage using science-based policies and programs. They are also responsible for shaping health research agendas and developing norms and standards.
The WHO provides expert team support, including funding, vaccines, testing, and treatment tools at the country level to fight...
The WHO provides expert team support, including funding, vaccines, testing, and treatment tools at the country level to fight...
1.3K
Global Regulatory Systems
554
Global regulatory systems in bacteria enable rapid and coordinated responses to environmental changes by integrating sensory inputs with gene expression, ensuring efficient adaptation to fluctuating conditions. Key global regulatory mechanisms include regulons, two-component systems, sigma factors, and secondary messengers.Regulons and Global RegulatorsA regulon is a collection of genes and operons controlled by a common global regulator. These regulators enable bacteria to prioritize resource...
554


