国际框架对我国卫生技术评估制度化路径构建策略的启示

严俊涛, 魏艳, 刘世蒙, 明坚, 谢士钰, 陈英耀

中国医疗保险 ›› 2022, Vol. 0 ›› Issue (1) : 75-80.

中国医疗保险 ›› 2022, Vol. 0 ›› Issue (1) : 75-80. DOI: 10.19546/j.issn.1674-3830.2022.1.014
国际(地区)比较

国际框架对我国卫生技术评估制度化路径构建策略的启示

  • 严俊涛1,2, 魏艳1,2, 刘世蒙1,2, 明坚1,2,3, 谢士钰1,2, 陈英耀1,2
作者信息 +

The Enlightenment of International HTA Institutionalization Framework for the Construction of Chinese HTA Institutionalization Roadmap

  • Yan Juntao1,2, Wei Yan1,2, Liu Shimeng1,2, Ming Jian1,2,3, Xie Shiyu1,2, Chen Yingyao1,2
Author information +
文章历史 +

摘要

卫生技术评估(HTA)作为一项政策解决方案,可运用于评价卫生技术价值、医保支付决策、确定技术价格以及指导战略采购等诸多领域。本文结合由全球非营利性组织“卫生管理科学”(MSH)改编政策阶段模型后针对中低收入国家(LMICs)提出的HTA制度化框架,阐述HTA政策的系统化优先级确定、议程设定、政策制定、采用与实施、影响评价等HTA制度化主要阶段的内容及其对我国的启示,为我国HTA制度化路径的构建策略提出建议和思考,助力HTA在我国医保领域的应用与推广。

Abstract

Health Technology Assessment (HTA) can be used in various health fields as a policy solution, including evaluating the value of health technology, making decisions on healthcare security reimbursement, determining the prices of technologies and guiding strategic procurement, in order to improve the efficiency of health resource allocation, facing the decision-making challenges caused by the conflicts between the pressure on the restricted healthcare security budget and the rapid rise in the medical expenses. The article focuses on the framework for HTA institutionalization proposed by the global non-profit organization Management Science for Health (MSH), which is adapted from the stages model of the policy process, elaborating the contents and insights of the main stages of HTA institutionalization, such as the systematic priority setting, agenda setting, policy formulation, adoption & implementation and impact evaluation, to provide suggestions for the construction of Chinese HTA institutionalization roadmap and improve the application and promotion of HTA in healthcare security scheme.

关键词

卫生技术评估 / HTA制度化框架 / 制度化路径 / 医保决策

Key words

HTA / framework for HTA institutionalization / institutionalization roadmap / healthcare security decision

引用本文

导出引用
严俊涛, 魏艳, 刘世蒙, 明坚, 谢士钰, 陈英耀. 国际框架对我国卫生技术评估制度化路径构建策略的启示[J]. 中国医疗保险. 2022, 0(1): 75-80 https://doi.org/10.19546/j.issn.1674-3830.2022.1.014
Yan Juntao, Wei Yan, Liu Shimeng, Ming Jian, Xie Shiyu, Chen Yingyao. The Enlightenment of International HTA Institutionalization Framework for the Construction of Chinese HTA Institutionalization Roadmap[J]. China Health Insurance. 2022, 0(1): 75-80 https://doi.org/10.19546/j.issn.1674-3830.2022.1.014
中图分类号: F840.684 C913.7   

参考文献

[1] Health Technology Assessment international.WHAT IS HTA? (2020-0)[EB/OL].(2021-08-10)https://htai.org/about-htai/.
[2] World Health Organization.2015 Global Survey on Health Technology Assessment by National Authorities[R].Geneva: WHO Document Production Services, 2015.
[3] 吕兰婷,傅金澜.HTA决策转化国际对比研究及经验借鉴——基于HTA十五项基本原则[J].中国药物经济学,2019,14(06):113-118.
[4] 茅艺伟,陈英耀,唐檬,刘文彬.国内部分卫生技术评估机构现状分析[J].中国卫生质量管理,2015,22(03):77-80.
[5] Héctor Castro, Christian Suharlim, Ritu Kumar, et al.A ROADMAP FOR SYSTEMATIC PRIORITY SETTING AND HEALTH TECHNOLOGY ASSESSMENT (HTA): A PRACTICAL GUIDE FOR POLICY ACTION IN LOW- AND MIDDLE-INCOME COUNTRIES, 2020.
[6] Howlett M, Perl A, Ramesh M.Studying public policy: policy cycles & policy subsystems[M].Oxford University Press, 2009.
[7] Abbas B, Mohammad A, Arash R, et al.Priority-setting in health research in Iran: a qualitative study on barriers and facilitators[J]. Health Research Policy & Systems, 2018, 16(1):57.
[8] GOETGHEBEUR, MIREILLE, CASTRO-JARAMILLO, et al.The art of priority setting[J].The Lancet, 2017, 389(10087):2368-2369.
[9] 颜建周,葛文霞,邵蓉.泰国卫生技术评估在基本药物遴选中的应用及对我国的启示[J].中国药房,2020,31(19):2305-2310.
[10] Gill W, Lucy G.Reforming the health sector in developing countries: the central role of policy analysis[J]. Health Policy & Planning, 1994(4):353-70.
[11] O'Rourke B, Oortwijn W, Schuller T. The new definition of health technology assessment: A milestone in international collaboration[J]. International Journal of Technology Assessment in Health Care, 2020, 36(3):187-190.
[12] Kristensen F B, Husereau B D, Hui M, et al.Identifying the Need for Good Practices in Health Technology Assessment: Summary of the ISPOR HTA Council Working Group Report on Good Practices in HTA - ScienceDirect[J]. Value in Health, 2019, 22(1):13-20.
[13] Tantivess S, Chalkidou K, Tritasavit N, et al.Health Technology Assessment capacity development in low- and middle-income countries: Experiences from the international units of HITAP and NICE[J]. F1000research, 2017, 6.
[14] Li R, Ruiz F, Culyer A J, et al.Evidence-informed capacity building for setting health priorities in low- and middle-income countries: A framework and recommendations for further research[J]. F1000Research 2017, 6:231.
[15] Drummond M, Neumann P, J Nsson B, et al. CAN WE RELIABLY BENCHMARK HEALTH TECHNOLOGY ASSESSMENT ORGANIZATIONS?[J]. Int J Technol Assess Health Care, 2012, 28(2):159-165.
[16] 持续深化医药卫生体制改革切实维护人民群众健康利益[J].中国公共卫生,2020,36(12):1665-1666.
[17] 耿劲松,陈英耀,吴博生,黄媛.卫生技术评估应用于决策的方法探析[J].中国卫生资源,2014,17(04):262-264.
[18] 中华人民共和国中央人民政府. 关于加强卫生与健康科技成果转移转化工作的指导意见[EB/OL]. (2016-10-12)[2021-08-10]. http://www.gov.cn/xinwen/2016-10/12/content_5117948.htm.
[19] Chen Y, He Y, Chi X, et al.Development of health technology assessment in China: New challenges[J].Bioscience Trends, 2018, 12(2):102-108.
[20] O'Brien N, Li R, Isaranuwatchai W, et al. How can we make better health decisions a Best Buy for all?[J].Gates Open Research, 2019, 3:1543.
[21] EUnetHTA.EUnetHTA HTA Adaptation Toolkit[EB/OL].[2021-04-15]. https://eunethta.eu/EUNETHTA-HTA-ADAPTATION-TOOLKIT/.
[22] 吕兰婷. 中国卫生技术评估决策转化体系构建策略——基于“三阶段”分析框架下的典型国家比较[J].中国卫生政策研究,2017,10(02):63-68.
[23] 唐檬,茅艺伟,刘文彬,陈英耀.决策者视角的中国卫生技术评估决策转化情况分析[J].中国医院管理,2014,34(04):10-13.
[24] 门鹏,唐惠林,翟所迪.卫生技术评估国外应用情况概述[J].中国医疗保险,2015(06):68-71.
[25] 施文凯,吕兰婷.基本医疗保险循证决策体系构建:卫生技术评估的作用[J].中国卫生政策研究,2019,12(11):73-79.
[26] 韩屹,宣建伟.HTA应用于我国医保药品谈判的国际借鉴[J].中国医疗保险,2020,No.136(01):28-30.

Accesses

Citation

Detail

段落导航
相关文章

/