目的: 卫生技术评估（HTA）作为一种多学科循证决策工具,能够从多个维度为医保决策提供科学依据。本文旨在借鉴国际先进经验,探讨HTA在我国医保决策中的应用路径和改进措施。方法: 本研究采用文献综述的方法,系统梳理了HTA的基本概念,并深入分析英国、加拿大等国家在HTA流程构建和管理运行制度方面的实践经验,总结我国HTA在医保领域中的应用现状,识别并讨论当前存在的主要挑战。结果: HTA在我国的应用已取得显著进展,但其体系构建与优化发展仍面临诸多挑战与待改进之处。如缺乏直属政府的专业HTA机构、评估流程有待优化、疾病或药品的技术评估标准缺失以及价格调增调减幅度未标准化等问题。结论: 未来,随着HTA体系和机制的持续完善,HTA将在优化资源配置、提高医疗服务质量和保障人民健康方面发挥出更为显著与深远的作用。
Abstract
Objective: Health technology assessmentserves as a multidisciplinary evidence-based decision-making tool, which can provide scientific grounds for healthcare insurance decisions from multiple dimensions. This paper aims to draw on international advanced experience to explore the application pathways, improvement measures of HTA in healthcare security decision-making within China. Methods: This study employs a literature review method to outline the fundamental concepts of HTA, examine the experience of countries such as the United Kingdom, Canada in HTA process construction as well as management, operation systems. It summarizes the current status of HTA applications in China's healthcare security system, identifying, discussing the main challenges currently. Results: Despite continuous maturation in the application of HTA in China, there are still many challenges, room for improvement in the construction, optimization of its system. Issues include the absence of a specialized government-affiliated HTA institution, the need for process optimization in assessments, the lack of technical evaluation standards for diseases or drugs, the non-standardization of price adjustment increments, decrements. Conclusion: In the future, by continuously improving the HTA system, mechanisms, HTA will play a more significant role in optimizing resource allocation, enhancing the quality of medical services, ensuring public health
关键词
卫生技术评估 /
医保决策 /
药物经济学
Key words
health technology assessment /
healthcare security decision-making /
pharmacoeconomics
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