基于医疗机构需求的Mini-卫生技术评估
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摘要
在将医疗技术引入医疗机构的过程中,医疗机构的决策层常需要进行快速决策,传统的卫生技术评估(HTA)作为用于指导卫生决策的重要工具可以取代经验模式,但对于需要快速决策但资源有限的医疗机构而言,开展传统的HTA存在诸多困难,因此,亟需一种针对医疗机构层面的HTA方法。Mini-卫生技术评估(Mini-HTA)是应用循证医学和传统卫生技术评估原理和方法,基于医疗机构实际需求,对卫生技术做出全面系统评价,为医疗机构决策层提供决策参考。文章介绍国内外Mini-HTA开展情况,对于医疗机构Mini-HTA指标体系和评估方法进行探索,旨在为医疗机构提供一种适宜的卫生技术评估方法,为医疗机构决策和技术实施提供科学的循证决策依据。
In the process of introdsucing medical technology to medical institutions,medical institutions of policy makers often need to make quick decisions. The traditional health technology assessment( HTA) was used as an important tool to guide the health decisions of health technology assessment rather than the empirical mode.However,for medical institutions with limited resources,it was difficult to carry out the traditional HTA,therefore,a HTA method was needed for different levels of medical institutions. Mini-health technology assessment( Mini-HTA) is the application of evidence-based medicine and the principle and method of traditional health technology assessment based on the actual demand of medical institutions and on health technology assessment. It's a comprehensive system for policy makers to provide decision-making reference for medical institutions. Mini-HTA to carry out the situation both at home and abroad has been introduced in this paper,and it explored the feasibility of our country medical institutions in adopting Mini-HTA operation procedure and evaluation system so as to provides good evidence-based decision-making basis for timely assessment and decision-making and technical implementation of medical institutions.
In the process of introdsucing medical technology to medical institutions,medical institutions of policy makers often need to make quick decisions. The traditional health technology assessment( HTA) was used as an important tool to guide the health decisions of health technology assessment rather than the empirical mode.However,for medical institutions with limited resources,it was difficult to carry out the traditional HTA,therefore,a HTA method was needed for different levels of medical institutions. Mini-health technology assessment( Mini-HTA) is the application of evidence-based medicine and the principle and method of traditional health technology assessment based on the actual demand of medical institutions and on health technology assessment. It's a comprehensive system for policy makers to provide decision-making reference for medical institutions. Mini-HTA to carry out the situation both at home and abroad has been introduced in this paper,and it explored the feasibility of our country medical institutions in adopting Mini-HTA operation procedure and evaluation system so as to provides good evidence-based decision-making basis for timely assessment and decision-making and technical implementation of medical institutions.
引文
[1]林立明.浅析我国医疗器械行业发展现状及发展趋势[J].科技创新导报,2016,13(21):107-108.
[2]于修成.中国卫生技术评估与循证准入管理探索[J].中国循证医学杂志,2004,4(1):10-14.
[3]唐智柳.我国卫生技术不同发展阶段的评估和管理[D].上海:复旦大学,2011:16-17.
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[15]李幼平,王莉.卫生技术评估与卫生决策[J].中国循证医学杂志,2001,1(3):142-146.
[16]李静.卫生技术评估的基本方法[J].中国循证医学杂志,2003,3(4):315-320.
[17]陈英耀,田丹.中国卫生技术评估的机遇和展望[J].中国医院管理,2008,28(9):1-4.
[18]杨俊,金伟,张恒.Mini-HTA在医疗机构医疗器械评价中的分析与探讨[J].中国医疗设备,2016(1):77-79.
[19]万悦竹,嵇承栋,朱琳懿,等.通过评估案例介绍Mini卫生技术评估[J].中华医学科研管理杂志,2016,29(5):335-337.
[20]Kalipso C,Robert M,Derek C,et al.Health technology assessment in universal health coverage[J].Lancet,2013,382(9910):e48-e49.
[21]Ehlers L,Vestergaard M,Kidholm K,et al.Doing mini-health technology assessments in hospitals:a new concept of decision support in health care[J].International Journal of Technology Assessment in Health Care,2006,22(3):295.
[22]Kidholm K,Ehlers L,Korsbek L,et al.Assessment of the quality of mini-HTA[J].International Journal of Technology Assessment in Health Care,2009,25(1):42-48.
[23]Sampietro-Colom L,Lach K,Haro I E,et al.The Ad Hop HTA handbook:a handbook of hospital-based Health Technology Assessment(HB-HTA)[M].Spain:Barcelona,2015:50-60.
[24]Grenon X.HOSPITAL-BASED HEALTH TECHNOLOGY ASSESSMENT(HB-HTA):A 10-YEAR SURVEY AT ONE UNIT[J].International Journal of Technology Assessment in Health Care,2016,32(3):1-6.
[2]于修成.中国卫生技术评估与循证准入管理探索[J].中国循证医学杂志,2004,4(1):10-14.
[3]唐智柳.我国卫生技术不同发展阶段的评估和管理[D].上海:复旦大学,2011:16-17.
[4]唐智柳,陈英耀.对我国卫生技术管理的若干思考[J].中国卫生资源,2007,10(4):178-179.
[5]吴洪涛.我国医疗技术管理现状及卫生政策反思[J].医学与哲学,2016,37(11):16-20.
[6]Moreshnee G,Mueller D B,Debashis B.Purchasing of medical equipment in public hospitals:the mini-HTA tool[J].South African medical journal,2011,101(11):807-808.
[7]Maria Eugenia B,Norberto S.Health technology assessment in an argentinean province:adapting existing tools[J].International Journal of Technology Assessment in Health Care,2014,30(1):121-127.
[8]Silverstein M D.International Journal of Technology Assessment in Health Care(review)[J].International Journal of Technology Assessment in Health Care,2013,29(1):3-11.
[9]Ehlers L,Vestergaard M,Kidholm K,et al.Doing mini-HTA in hospitals:A new concept of decision support in health care[M].EU action against discrimination:Office for Official Publications of the European Communities,2009:70-92.
[10]黄进,张永刚,刘钰琪,等.Mini卫生技术评估简介[J].中国循证医学杂志,2014,14(8):901-904.
[11]Hutubessy R C W,Piya H,Tessa Tan-Torres E.Diffusion and utilization of magnetic resonance imaging in Asia[J].International Journal of Technology Assessment in Health Care,2002,18(3):690-704.
[12]Arellano L E,Mercedes R,Juan Antonio B,et al.A content analysis of Health Technology Assessment programs in Latin America[J].International Journal of Technology Assessment in Health Care,2009,25(4):570-576.
[13]Rubinstein A,Pichon-Riviere A,Augustovski F.Development and implementation of health technology assessment in Argentina:two steps forward and one step back[J].International Journal of Technology Assessment in Health Care,2009,25 suppl 1(1):260-269.
[14]Randa A,Marie-Pierre G.Implementation of local/hospitalbased health technology assessment initiatives in low-and middle-income countries[J].International Journal of Technology Assessment in Health Care,2012,28(4):445-451.
[15]李幼平,王莉.卫生技术评估与卫生决策[J].中国循证医学杂志,2001,1(3):142-146.
[16]李静.卫生技术评估的基本方法[J].中国循证医学杂志,2003,3(4):315-320.
[17]陈英耀,田丹.中国卫生技术评估的机遇和展望[J].中国医院管理,2008,28(9):1-4.
[18]杨俊,金伟,张恒.Mini-HTA在医疗机构医疗器械评价中的分析与探讨[J].中国医疗设备,2016(1):77-79.
[19]万悦竹,嵇承栋,朱琳懿,等.通过评估案例介绍Mini卫生技术评估[J].中华医学科研管理杂志,2016,29(5):335-337.
[20]Kalipso C,Robert M,Derek C,et al.Health technology assessment in universal health coverage[J].Lancet,2013,382(9910):e48-e49.
[21]Ehlers L,Vestergaard M,Kidholm K,et al.Doing mini-health technology assessments in hospitals:a new concept of decision support in health care[J].International Journal of Technology Assessment in Health Care,2006,22(3):295.
[22]Kidholm K,Ehlers L,Korsbek L,et al.Assessment of the quality of mini-HTA[J].International Journal of Technology Assessment in Health Care,2009,25(1):42-48.
[23]Sampietro-Colom L,Lach K,Haro I E,et al.The Ad Hop HTA handbook:a handbook of hospital-based Health Technology Assessment(HB-HTA)[M].Spain:Barcelona,2015:50-60.
[24]Grenon X.HOSPITAL-BASED HEALTH TECHNOLOGY ASSESSMENT(HB-HTA):A 10-YEAR SURVEY AT ONE UNIT[J].International Journal of Technology Assessment in Health Care,2016,32(3):1-6.
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