| 引用本文: |
陈英耀,肖月,马丽平,等.我国高值医用耗材准入管理中价值评估框架探索[J].中国卫生经济,2023,42(12):3-8.[点击复制] |
Chen Yingyao,Xiao Yue,Ma Liping,et al.Exploring the Value Evaluation Framework for High-Value Medical Consumables Access Management in China[J].CHINESE HEALTH ECONOMICS,2023,42(12):3-8.[点击复制] |
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| 我国高值医用耗材准入管理中价值评估框架探索 |
| 陈英耀,肖月,马丽平,金春林,刘庆,冷家骅,吴久鸿,陶立波,王海银,王明刚,郭武栋,谢丽,綦文博,仉元瑾,赵琨,胡善联 |
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| (复旦大学公共卫生学院 上海 200032;国家卫生健康委药物与卫生技术综合评估中心 北京 100191;国家卫生健康委医院管理研究所 北京 100044;上海市卫生和健康发展研究中心 上海 200040;山东大学齐鲁医院 济南 250012;北京大学肿瘤医院 北京 100142;战略支援部队特色医学中心 北京 100101;北京大学医学部卫生政策与技术评估中心 北京 100191;首都医科大学附属北京朝阳医院 北京 100020;国家卫生健康委卫生发展研究中心 北京 100037;天津开心生活科技有限公司 上海 200030) |
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| 摘要: |
| 目的：构建高值医用耗材的价值评估框架，为我国高值医用耗材的医保和医院准入管理和评价提供参考。方法：以文献研究为基础，综合应用定性访谈和定量调研。定性访谈12位资深专家，定量调研100位卫生技术评估、医保、医院管理和临床4个领域的专家，确定价值评估框架构成和各条目评分，通过卡方检验计算评分差异，对指标的推荐程度进行分级。结果：建立了以6大维度为核心，二级维度条目16个和三级维度条目50个的高值医用耗材价值评估框架。在医保和医院准入场景下，在同一场景下不同类型的专家中，条目评分表现出显著差异。将条目分级后，在医保准入场景下包含8个高推荐条目，在医院准入场景下包含24个高推荐条目。结论：价值评估应鼓励持续推动多维度的价值评估，鼓励多学科参与，不断完善医保和医院准入中高值医用耗材的管理。 |
| 关键词: 高值医用耗材 价值评估 医保准入 医院准入 |
| DOI： |
| 投稿时间：2023-09-17 |
| 基金项目: |
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| Exploring the Value Evaluation Framework for High-Value Medical Consumables Access Management in China |
| Chen Yingyao,Xiao Yue,Ma Liping,Jin Chunlin,Liu Qing,Ling Jiahua,Wu Jiuhong,Tao Libo,Wang Haiyin,Wang Minggang,Guo Wudong,Xie Li,Qi Wenbo,Zhang Yuanjin,Zhao Kun,Hu Shanlian |
| (School of Public Health, Fudan University, Shanghai, 200032 , China) |
| Abstract: |
| Objective: To construct a value evaluation framework for high-value medical consumables, providing a guidance for medical insurance access and hospital access management scenarios in China. Methods: It conducted literature review, qualitative in- terviews and quantitative surveys. A total of 12 experts were invited for qualitative interviews, while 100 experts from four fields of health technology assessment, medical insurance, hospital management, and clinical practice participated in the quantitative survey. Through those process, it generated the composition of the value framework and the scoring of each item. Differences in ratings be- tween different scenarios and experts were analyzed through chi-square tests. The recommendation level for each item was graded. Re- sults: A comprehensive value evaluation framework for high-value medical consumables was established, which included 6 core dimen- sions, comprised 16 items for secondary dimensions and 50 items for tertiary dimensions. It showed significant differences between the medical insurance access and hospital access scenarios, as well as among different fields of experts in the same scenario. furthermore, grading the items in two scenarios. The medical insurance access scenario had 8 highly recommended items, and the hospital access scenario had 24 highly recommended items. Conclusion: Value evaluation should encourage multi-dimensional assessments and inter- disciplinary participation, continually improving the management of high-value medical consumables in medical insurance and hospital access. |
| Key words: high-value medical consumables value evaluation medical insurance access hospital access |
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