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山东大学学报 (医学版) ›› 2019, Vol. 57 ›› Issue (8): 61-68.doi: 10.6040/j.issn.1671-7554.0.2018.1078

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卫生技术评估在健康保险和健康管理中的应用

方亚   

  1. 厦门大学公共卫生学院, 福建 厦门 361102
  • 发布日期:2022-09-27
  • 通讯作者: 方亚. E-mail:fangya@xmu.edu.cn
  • 基金资助:
    国家自然科学基金(81573257,71874147)

Application of health technology assessment in health insurance and health management

FANG Ya   

  1. School of Public Health, Xiamen University, Xiamen 361102, Fujian, China
  • Published:2022-09-27

摘要: 卫生技术评估作为重要的卫生决策工具,能够为决策者的循证决策提供参考依据。梳理了国内外卫生技术评估的程序及内容,回顾了卫生技术评估在国内外健康保险和健康管理领域的应用现状和进展,提出了新时期背景下卫生技术评估应明晰关键角色定位、回归评估目标价值、重视患者参与、保证独立客观、合理使用大数据等发展新要求,同时针对我国卫生技术评估存在的问题,结合国际经验提出了规范设计评估流程、促进决策转化、加强多方交流、提升循证决策意识、保障评估公正透明等相关建议,为促进卫生技术评估在健康保险和健康管理中的应用提供科学依据。

关键词: 卫生技术评估, 健康保险, 健康管理, 决策, 应用

Abstract: As an important health decision-making tool, health technology assessment(HTA)is used to provide scien- 山 东 大 学 学 报 (医 学 版)57卷8期 -方亚. 卫生技术评估在健康保险和健康管理中的应用 \=-tific basis for policy-makers. This paper combs the progress of international and domestic application of HTA, summarizes the procedure and content, reviews the current status and progress of HTA in health insurance and health management, and puts forward new requests for HTA to meet the needs of time. In view of existing problems of HTA in China, this paper puts forward policy recommendations for further development, such as designing scientific evaluation process system, promoting the transformation of decisions, strengthening multilateral exchanges, promoting awareness of evidence-based decision making, ensuring the authority and transparency of HTA. Furthermore, it provides scientific basis for promoting the application of HTA in health insurance and health management.

Key words: Health technology assessment, Health insurance, Health management, Decision making, Application

中图分类号: 

  • R197.1
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