环境可持续医疗保健的优先设定:公平资源分配的新兴方法
Anand Bhopal1, Martin Hensher2, Andrea J MacNeill3
1Bergen Centre for Ethics and Priority Setting in Health, Department of Global Public Health and Primary Care, Faculty of Medicine, University of Bergen, Bergen, Norway.
The Lancet. Planetary health
|December 26, 2025
概括
在医疗保健中的优先设定可以将环境可持续性纳入资源分配. 这种方法支持开发更绿色,更适应气候变化的卫生系统.
科学领域:
- 卫生经济学 卫生经济学
- 环境科学 环境科学
- 医学伦理 医学伦理
背景情况:
- 医疗保健系统对环境产生重大影响,这是一个经常被忽视的方面.
- 全球正在向可持续,低污染和适应气候变化的医疗保健转变.
- 医疗保健的资源配置面临着平衡竞争目标和价值观的挑战.
研究的目的:
- 探索医疗保健优先设定工具如何推动向环境可持续性的过渡.
- 将环境考虑纳入现有的医疗保健资源分配框架.
- 检查对更广泛的卫生系统转型的影响.
主要方法:
- 审查医疗保健中确立的优先设定原则 (成本效益,公平,金融风险保护).
- 分析如何将环境可持续性纳入卫生技术评估 (HTA) 和多标准决策分析 (MCDA).
- 审查将可持续性纳入预算流程,如计划预算和边际分析 (PBMA).
主要成果:
- 现有的优先设定工具可以调整为包括环境可持续性标准.
- 将环境因素纳入HTA和MCDA可以引导资源分配向可持续的医疗保健.
- 像PBMA这样的预算流程提供了为环保健康计划提供资金的机会.
结论:
- 确定优先级的框架对于引导医疗保健向环境可持续性至关重要.
- 将环境考虑纳入资源分配,对于改变卫生系统至关重要.
- 需要一个系统和透明的方法来导航权衡,并在可持续的医疗保健优先设定中传达价值观.
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