基于国际经验的医院卫生技术评估实施路径研究
|
摘要
在我国卫生领域推进"放管服"改革背景下,医院在卫生技术决策和管理中的作用得到增强。医院卫生技术评估是专门根据医院情况开展卫生技术评估,以支持医院内卫生技术决策的方法学工具。国际上的医院卫生技术评估活动呈增长态势,通过对加拿大、法国、新加坡和阿根廷的研究,总结成功开展医院卫生技术评估的经验,并提出我国医院管理中开展卫生技术评估的路径和策略。
Under the background of promoting decentralization reform in the field of health in China,the role of hospitals in decision-making and management of health technology has been strengthened. Hospital-based Health Technology Assessment(HB-HTA) is a methodological tool to carry out HTA from the perspectives of hospital,and to support decision-making in hospitals. From international experiences,HB-HTA activities are growing. Through the research in Canada,France,Singapore and Argentina,the experience of successfully launching Hospital-based Health Technology Assessment is summarized,and the path of carrying out Hospital-based Health Technology Assessment in hospital management in China are proposed.
Under the background of promoting decentralization reform in the field of health in China,the role of hospitals in decision-making and management of health technology has been strengthened. Hospital-based Health Technology Assessment(HB-HTA) is a methodological tool to carry out HTA from the perspectives of hospital,and to support decision-making in hospitals. From international experiences,HB-HTA activities are growing. Through the research in Canada,France,Singapore and Argentina,the experience of successfully launching Hospital-based Health Technology Assessment is summarized,and the path of carrying out Hospital-based Health Technology Assessment in hospital management in China are proposed.
引文
[1]陈婷,闵锐,乐曲,等.健康中国建设背景下大型公立医院动态能力初探[J].中国医院管理,2017,37(6):1-4.
[2]欧盟AdHopHTA项目组.医院卫生技术评估:手册与工具包[M].上海:上海交通大学出版社,2017:4-7.
[3]RANDA A,MARIE-PIERRE G.Implementation of local/HospitalBased Health Technology Assessment initiatives in low-and middleincome countries[J].International Journal of Technology Assessment in Health Care,2012,28(4):445-451.
[4]GRACIELA D.A 10-year Hospital-based Health Technology Assessment Program in a public hospital in Argentina[J].International Journal of Technology Assessment in Health Care,2015,31(1):103-110.
[5]NICOLAS M,MATHILDE B,ISABELLE B,et al.Introduction of innovative medical devices at French university hospitals:an overview of Hospital-Based Health Technology Assessment in initiatives[J].International Journal of Technology Assessment in Health Care,2015,31(1):12-18.
[6]THOMAS G P,CHRISTIAN A B,SUZANNE K B,et al.Impact of Health Technology Assessment reports on hospital decision makers-10-year insight from a hospital unit in Sherbrooke,Canada:impact of Health Technology Assessment on hospital decisions[J].International Journal of Technology Assessment in Health Care,2018,34(4):393-399.
[7]CICCHETTI A,MARCHETTI M,DIBIDINO R,et al.Hospitalbased Health Technology Assessment world-wide survey[EB/OL].[2018-02-28].https://htai.org/wp-content/uploads/2018/02/HospitalBasedHTAISGSurveyReport.pdf.
[8]吕兰婷,付荣华.我国医疗技术管理中引入医疗技术评估的路径探讨[J].中国医院管理,2016,36(12):17-20.
[9]魏艳,明坚,陈英耀,等.基于医院管理者视角的医学新技术转化应用模式分析[J].中国医院管理,2018,38(3):8-11.
[10]茅艺伟,陈英耀,唐檬,等.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(3):77-80.
[11]施文凯,吕兰婷.我国药品价格谈判机制中引入卫生技术评估的动阻力研究[J].中国卫生经济,2016,35(8):78-81.
[12]国家统计局.中华人民共和国2017年国民经济和社会发展统计公报[EB/OL].[2018-02-28].http://www.stats.gov.cn/tjsj/zxfb/201802/t20180228_1585631.html.
[2]欧盟AdHopHTA项目组.医院卫生技术评估:手册与工具包[M].上海:上海交通大学出版社,2017:4-7.
[3]RANDA A,MARIE-PIERRE G.Implementation of local/HospitalBased Health Technology Assessment initiatives in low-and middleincome countries[J].International Journal of Technology Assessment in Health Care,2012,28(4):445-451.
[4]GRACIELA D.A 10-year Hospital-based Health Technology Assessment Program in a public hospital in Argentina[J].International Journal of Technology Assessment in Health Care,2015,31(1):103-110.
[5]NICOLAS M,MATHILDE B,ISABELLE B,et al.Introduction of innovative medical devices at French university hospitals:an overview of Hospital-Based Health Technology Assessment in initiatives[J].International Journal of Technology Assessment in Health Care,2015,31(1):12-18.
[6]THOMAS G P,CHRISTIAN A B,SUZANNE K B,et al.Impact of Health Technology Assessment reports on hospital decision makers-10-year insight from a hospital unit in Sherbrooke,Canada:impact of Health Technology Assessment on hospital decisions[J].International Journal of Technology Assessment in Health Care,2018,34(4):393-399.
[7]CICCHETTI A,MARCHETTI M,DIBIDINO R,et al.Hospitalbased Health Technology Assessment world-wide survey[EB/OL].[2018-02-28].https://htai.org/wp-content/uploads/2018/02/HospitalBasedHTAISGSurveyReport.pdf.
[8]吕兰婷,付荣华.我国医疗技术管理中引入医疗技术评估的路径探讨[J].中国医院管理,2016,36(12):17-20.
[9]魏艳,明坚,陈英耀,等.基于医院管理者视角的医学新技术转化应用模式分析[J].中国医院管理,2018,38(3):8-11.
[10]茅艺伟,陈英耀,唐檬,等.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(3):77-80.
[11]施文凯,吕兰婷.我国药品价格谈判机制中引入卫生技术评估的动阻力研究[J].中国卫生经济,2016,35(8):78-81.
[12]国家统计局.中华人民共和国2017年国民经济和社会发展统计公报[EB/OL].[2018-02-28].http://www.stats.gov.cn/tjsj/zxfb/201802/t20180228_1585631.html.