医院卫生技术评估的经济学评估探讨  

Study on the economic evaluation of hospital-based health technology assessment

作　　者：吕兰婷 施文凯 林夏 白飞 Lyu Lanting;Shi Wenkai;Lin Xia;Bai Fei(Health Technology Assessment and Policy Evaluation Group,School of Public Administration and Policy,Renmin University of China,Beijing 100872,China;School of Public Administration and Policy,Renmin University of China,Beijing 100872,China;National Center for Medical Service Administration,Beijing 100086,China)

机构地区：[1]中国人民大学卫生技术评估与医药政策研究中心,北京100872 [2]中国人民大学公共管理学院,北京100872 [3]国家卫生健康委医疗管理服务指导中心,北京100086

出　　处：《中华医院管理杂志》2020年第2期103-107,共5页Chinese Journal of Hospital Administration

基　　金：中国人民大学科学研究基金(中央高校基本科研业务费专项资金资助)项目成果(19XNA005)。

摘　　要：与传统卫生技术评估不同,医院卫生技术评估(hospital-based health technology assessment,HB-HTA)主要基于医院视角开展经济学分析,常用成本-效果分析结合预算影响分析,关注当期的医疗成本与效果,支持医院内部卫生技术准入、采购定价、淘汰等决策。在我国深化医保支付方式改革的大环境下,基于HB-HTA的院内科学决策显得尤为重要。作者从卫生技术的经济学特性出发,分析HB-HTA与传统HTA在开展经济学评估时的差异,介绍HB-HTA经济学评估的步骤、内容、指标与方法等,并提出相关建议。Different from the traditional health technology assessment(HTA),hospital-based health technology assessment(HB-HTA)is mainly based on the perspective of the hospital to carry out economic analysis,commonly used cost-effectiveness analysis combined with budget impact analysis methods.It pays attention to the current medical costs and effects,and supports the hospital′s internal health technology access,purchase pricing,elimination and other decisions.In the context of deepening the reform of medical insurance payment mode in China,the hospital internal medicine decision-making based on HB-HTA is particularly important.Based on the economic characteristics of health technology,the authors analyzed the differences between HB-HTA and traditional HTA in carrying out economic evaluation,introduced the steps,contents,indicators and methods of HB-HTA economic evaluation,and put forward relevant strategic suggestions.

关 键 词：医院卫生技术评估 经济学评估 成本-效果分析 预算影响分析 医保支付方式改革 

分 类 号：R197[医药卫生—卫生事业管理]