基于增量费用比的医用耗材分类的循证评价探索  

Exploration of classification management method of evidence-based evidence for medical consumables based on cost multiplication

作　　者：杨海[1,2] 罗莉[1,2] 唐密[1,2] 吕兰婷[3,4] 林夏 白飞 YANG Hai;LUO Li;TANG Mi;LV Lanting;LIN Xia;BAI Fei(Sixth People's Hospital,Shanghai Jiao Tong University,Shanghai,200233,P.R.China;Research Institute of Hospital Business and Management,National Institute of Hospital Development,Shanghai Jiao Tong University,Shanghai,200233,P.R.China;School of Public Administration and Policy,Renmin University of China,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;不详)

机构地区：[1]上海交通大学附属第六人民医院,上海200233 [2]上海交通大学中国医院发展研究院医院经营管理研究所,上海200233 [3]中国人民大学公共管理学院,北京100872 [4]中国人民大学卫生技术评估与医药政策研究中心,北京100872 [5]国家卫生健康委医疗管理服务指导中心,北京100037

出　　处：《中国循证医学杂志》2020年第3期340-344,共5页Chinese Journal of Evidence-based Medicine

基　　金：国家卫生健康委医疗管理服务指导中心第一批HB-HTA试点。

摘　　要：目的探索基于增量费用比的医用耗材分类的循证评价方法并进行实证检验。方法借鉴四象限图进行耗材证据分类探索。结果医用耗材管理科推荐的项目中95.22%获得小组推荐,小组推荐的项目100%通过委员会决议。医用耗材管理科意见、小组意见与委员会决议的相关性较高。结论 "一维度"模型更利于小组意见生成与委员会决策。以诊疗技术所需耗材整体费用为基础,更接近实际情况。分类临界值有待进一步优化,分类依据需根据医院情况不断调整。基于增量费用比的医用耗材循证证据分类评价方法是一种适合中国国情的、简单快速的医院卫生技术评估方法。Objectives To explore classification management method of evidence-based evidence for medical consumables based on cost multiplication and to conduct empirical test. Methods Four quadrants was used to explore the classification management of consumables evidence. Results 95.22% of the "recommended" items in the consumables department were "recommended" by the group. 100% of group "recommended" items passed the committee resolution. Advice of consumables department and group was highly relevant with decision of commission.Conclusions One-dimensional recommendations allow the decision-making of group and committee to be more convenient. Cost calculation is based on all consumables required for medical treatment, which is similar to reality. The classification threshold requires further optimization, and the classification basis requires continual adjustment under different conditions of hospital. The evidence-based evidence evaluation method for medical consumables based on incremental cost ratio is a simple and rapid hospital health technology assessment method suitable for China’s national conditions.

关 键 词：增量费用比 医用耗材 循证证据 分类管理 医院卫生技术评估 

分 类 号：R197.32[医药卫生—卫生事业管理]