摘要
与传统卫生技术评估(HTA)相比,医院卫生技术评估(HB-HTA)从"组织视角"出发,需要立足医院实际情况、支持医院层面的管理决策。新医改对医院提出了更高的目标和要求,HB-HTA具有管理功能、经济功能和技术功能,可基于当前最优证据为卫生医疗政策管理和决策提供方法学支持,推动医院由行政决策向知证决策转变。作为HTA网络的组成部分,HB-HTA在卫生技术网络中通过纵向合作机制和横向扩散机制发挥作用,既同国家和地区HTA进行广泛的互动与合作,也可基于某一特定医学领域进行扩散。
Compared with traditional HTA, the most fundamental feature of HB-HTA is "organizational perspective", which is based on the actual situation of the hospital and supports hospital management decision-making.The new health care reform has set higher goals and requirements for hospitals. HB-HTA has management, economic and technical functions, and it can provide methodological support for health care policy management and decision-making based on the current optimal evidence, and promote the transformation of hospital from administrative decision-making to evidence informed decision-making. As an integral part of HTA network, HB-HTA plays a role in health technology networks through vertical cooperation mechanism and horizontal diffusion mechanism. It can interact and cooperate with national and regional HTA, as well as spread based on a specific medical field.
作者
吕兰婷
施文凯
林夏
白飞
LU Lanting;SHI Wenkai;LIN Xia;BAI Fei(School of Public Administration and Policy,Renmin University of China,Beijing,100872,P.R.China;Health Technology Assessment and Policy Evaluation Group of Renmin University of China(RucTAG),Beijing,100872,P.R.China;National Center for Medical Service Administration,National Health Commission of the People's Republic of China,Beijing,100086,P.R.China)
出处
《中国循证医学杂志》
CSCD
北大核心
2020年第3期335-339,共5页
Chinese Journal of Evidence-based Medicine
基金
中国人民大学“中央高校建设世界一流大学(学科)和特色发展引导专项资金”(编号:2019044)。
关键词
医院卫生技术评估
知证决策
新医改
国家/地区卫生技术评估
医院管理
Hospital-based health technology assessment
Evidence informed decision-making
New medical reform
National/regional health technology assessment
Hospital management
作者简介
通信作者:白飞,Email:gsyzbf@163.com。
