引用本文: 曾华堂,柯夏童,黄存瑞,等.基于复杂适应系统理论的我国卫生技术评估实施机制研究*[J].中国卫生经济,2023,42(5):1-4,40.[点击复制] ZENG Hua-tang,KE Xia-tong,HUANG Cun-rui,et al.Research on the Implementation Mechanism of Chinese Health Technology Assessment Based on Complex Adaptive System Theory[J].CHINESE HEALTH ECONOMICS,2023,42(5):1-4,40.[点击复制]
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基于复杂适应系统理论的我国卫生技术评估实施机制研究*
曾华堂,柯夏童,黄存瑞,伍丽群,杜芳,梁万年
0
(清华大学万科公共卫生与健康学院 北京 100084 ;深圳市卫生健康发展研究和数据管理中心广东 深圳 518000)
摘要:
目的:探究我国卫生技术评估的实施现状和运行机制。方法:结合复杂适应系统理论,解析我国卫生技术评估实施的标识机制、积木块机制和内部模型机制。结果:从标识机制看,我国卫生技术评估的政策环境良好,但地方层面的机构体系和人才体系仍不成熟;从积木块机制看,不同的主体在卫生技术评估实施过程中有不同的工具,但方法指南和流程框架存在不权威、不透明的问题;从内部模型机制看,卫生技术评估的需方和供方之间的需求和预期成效沟通有限,导致研究成果不能转化为政策落实。结论:卫生技术评估是1个复杂适应系统,涉及到多方利益主体之间、主体与环境之间的交互作用,需要用系统的思维进一步重构实施机制。
关键词:  卫生技术评估  实施机制  复杂适应系统理论
DOI:
投稿时间:2023-02-06
基金项目:深圳市“医疗卫生三名工程”项目资助(SZSM202111001)
Research on the Implementation Mechanism of Chinese Health Technology Assessment Based on Complex Adaptive System Theory
ZENG Hua-tang,KE Xia-tong,HUANG Cun-rui,WU Li-qun,DU Fang,LIANG Wan-nian
()
Abstract:
Objective: To study the current status and operational mechanisms of health technology assessment in China. Methods: Combining complex adaptive system theory,the tag,internal model and building blocks mechanisms of health technology assessment implementation were analyzed. Results: Based on the tag mechanism,the policy environment for health technology assessment in China was good,while the institutional system and talent system at the local level were still immature; based on the building block mechanism,different entities had different tools in the process of health technology assessment implementation,while the methodological guidelines and process framework were not authoritative and transparent; based on the internal model mechanism,the needs and expectations between the demand side and the supply side of health technology assessment,resulting in research findings not being translated into policy implementation. Conclusion: Health technology assessment is a complex adaptive system that involves interactions between multiple stakeholders and the interactions between subjects and the environment,and requires systems thinking to further reconfigure implementation mechanisms.
Key words:  health technology assessment  implementation mechanism  complex adaptive system theory

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