共查询到17条相似文献,搜索用时 109 毫秒
1.
2.
3.
适宜卫生技术评估指标体系研究 总被引:1,自引:0,他引:1
目的构建一套省级适宜卫生技术评估指标体系,为适宜卫生技术筛选和建设省级适宜卫生技术库提供决策依据。方法本研究通过文献复习法和专家咨询法构建指标体系并确定各指标权重。结果制定了省级适宜卫生技术评估指标体系,并确定了各指标权重,其中包括一级指标5个,分别为科学性、技术实施要求、安全性、有效性及适宜性;二级指标14个;三级指标28个;四级指标19个。结论本研究构建了一套全面、科学、简易可行的适宜卫生技术评估指标体系,并制定了技术评估方法,为适宜卫生技术筛选解决了关键问题,对于推动适宜卫生技术评估、推广和应用具有重要意义。 相似文献
4.
目的:了解广州市卫生技术评估现况,分析其存在的问题原因,为促进卫生技术评估工作的可持续性开展提供参考。方法:分别选取临床及公共卫生相关决策者和卫生行政部门相关决策者进行个人深入访谈。结果:访谈对象认为卫生技术评估能够降低决策风险;不同单位性质的访谈对象对卫生技术评估的认知度不同,导致各单位对开展科学、规范化的卫生技术评估工作的需求存在差异。结论:访谈对象对卫生技术评估的认知度不高,卫生技术主管部门应该采取积极有效的措施,分析和解决卫生技术评估在实施中存在的问题,从而促进卫生技术评估工作在卫生领域的广泛开展。 相似文献
5.
在介绍卫生技术评估概念和重要性的基础上,结合国际上卫生技术评估在政府决策中的作用,针对国内卫生技术评估的现状和存在问题进行分析,并提出卫生技术评估向政策转化的参考建议,以期推动卫生决策的科学化、规范化。 相似文献
6.
方亚 《山东大学学报(医学版)》2019,57(8):61-68
卫生技术评估作为重要的卫生决策工具,能够为决策者的循证决策提供参考依据。梳理了国内外卫生技术评估的程序及内容,回顾了卫生技术评估在国内外健康保险和健康管理领域的应用现状和进展,提出了新时期背景下卫生技术评估应明晰关键角色定位、回归评估目标价值、重视患者参与、保证独立客观、合理使用大数据等发展新要求,同时针对我国卫生技术评估存在的问题,结合国际经验提出了规范设计评估流程、促进决策转化、加强多方交流、提升循证决策意识、保障评估公正透明等相关建议,为促进卫生技术评估在健康保险和健康管理中的应用提供科学依据。 相似文献
7.
8.
9.
自1976年美国首次提出卫生技术评估概念以来,各国已不再局限于某一具体的临床治疗方式和手段的评估,转而利用卫生技术评估作为一个判断新技术准入和使用的政策工具。卫生技术评估作为提高医疗决策科学性、经济性和公平性的工具,在中医药领域的评估范畴、评估方法和评估细致程度方面应用较少,发展较慢。通过梳理欧美四国(英国、加拿大、瑞典、德国)及亚洲五国(日本、韩国、泰国、新加坡、中国)卫生技术评估组织结构、评估流程和方法学上的差异与特点。旨在向其他国家学习其成功经验,并将其转化为符合中医药特色的卫生技术评估体系,为我国中医药的医疗保健政策制定者、研究者和从业者提供国际实践经验,从而促进中医药的标准化、现代化和国际化。 相似文献
10.
介绍卫生技术评估的概念及其在国内外的发展现状,阐述开展卫生技术评估的意义,指出并分析我国卫生技术评估发展方向,包括从国家层面推动、提高经费支持、建立相应信息发布渠道等方面。 相似文献
11.
12.
Hailey D 《Singapore medical journal》2006,47(3):187-92; quiz 193
Health technology assessment (HTA) involves the systematic evaluation of healthcare technologies and the dissemination of assessment findings. Its main purpose is to provide objective information to support healthcare decisions and policy-making. This article provides a brief overview of HTA, covering availability of assessment reports, approaches used, relevance and reliability of assessments and the influence of HTA. HTA reports vary greatly in their scope and complexity, because of the range of questions considered and the needs of those who request advice on health technologies. A key to the reliability of an HTA report is its transparency. Explicit information should be provided on the question that is addressed, data used, approach to analysis, and any assumptions that are made. Effectiveness of HTA--the extent to which it influences decisions--will be highly dependent on how well assessment findings are disseminated. 相似文献
13.
卫生技术评估与医院管理 总被引:4,自引:1,他引:3
笔者探讨了卫生技术评估在医院管理应用中的作用与价值。分析了卫生技术评估与医院医疗技术管理、与医院药品管理、与医疗设备器械管理的关系。进而总结出卫生技术评估能够提高医院临床医疗实践水平,在医院管理中有着重要的作用和价值的结论。 相似文献
14.
Walley T 《The Medical journal of Australia》2007,187(5):283-285
The Health Technology Assessment (HTA) Programme in England is a government-funded but independent research program. It is "needs-led", identifying technologies of most importance to the National Health Service and commissioning research to provide answers on these technologies useful to policymakers, clinicians and patients. It is "science-added", refining problems to researchable questions and working with researchers to ensure that the question is addressed, and disseminating the findings to key audiences. There is a clear distinction in England between assessment (a scientific process and the role of the HTA Programme) and appraisal (the role of policymakers, like the National Institute for Health and Clinical Excellence). There are many features common to HTA in Australia and England, but also differences, as HTA in each country has to adapt to its own environment. 相似文献
15.
我国卫生技术评估及准入的初步探讨 总被引:2,自引:0,他引:2
笔者探讨卫生技术评估(health technology assessm ent,HTA)与卫生技术准入的对象、HTA方法学及HTA对卫生政策的影响等方面存在的问题,并提出重视对医疗行为主体与客体的评估、加强HTA优先顺序的确定和社会适应性的评估、加大HTA对卫生决策的影响力度等对策,以不断改进与完善我国的HTA和卫生技术准入制度,推动卫生决策的科学化、规范化。 相似文献
16.
《Medical Journal Armed Forces India》2022,78(2):213-220
BackgroundThe Indian Armed Forces, on entry, vaccinates all cadets and recruits with varicella vaccine for the prevention of varicella. This health technology assessment (HTA) report puts forth evidence for HTA of varicella vaccination in the Armed Forces in various domains namely clinical, societal, ethical, economic, and legal.MethodsThe policy question under each domain has been developed according to best-practice methods for HTA. The costs included were hospitalization cost due to varicella infection; training lost cost; the varicella vaccine cost; cost of the side effects of vaccine; and the outbreak investigation cost. The incremental cost-effectiveness ratio (ICER) for varicella cases averted and man-days saved, and quality-adjusted life years (QALYs) gained due to varicella vaccination strategy were calculated.ResultsEvidence suggests a reduction of 81% in hospitalization rates with 19392 man-days saved per 1 lakh population due to varicella vaccination strategy. The ICER for varicella cases averted is estimated to be Rs 56732/- per case averted and Rs 5687/- per man-day saved. QALYs gained due to two-dose varicella vaccination strategy is estimated to be 1152 per 1 lakh population with cost per QALY gained Rs 95735/-.ConclusionThe study showed a large reduction in hospitalizations and consequently man-days lost after the introduction of the vaccination strategy. The QALYs was another aspect of importance brought out by this study. Thus, a two-dose vaccination strategy for varicella-zoster virus (VZV) for the Armed Forces trainees is a cost-effective policy. 相似文献
17.
目的: 获取肝癌相关基因(hepatoma associated gene,HTA)的mRNA分子全长序列并对其可变剪接进行分析,检测其转录本在各肝癌细胞系中的表达,为进一步研究该基因在肝癌发生、发展中的作用奠定基础。方法: 用3'RACE 和5'RACE方法扩增HTA基因的全长序列并对其序列信息和可变剪接进行扩增和测序分析,用Northern印迹检测该基因转录本在不同肝癌和正常肝细胞系中的表达。结果: HTA基因全长序列为1414 bp,经分析该序列包含3个外显子,2个内含子,其中2号内含子在可变剪接中被作为外显子表达。Northern印迹显示HTA基因1.7 kb转录本和1.4 kb转录本均表达于恶性肝癌细胞系,而不表达于正常细胞系。结论: 成功获得了HTA基因的全长序列并对其可变剪接进行了分析,2个大小不同的转录本均在肝癌细胞系中特异性表达,作为一个肝癌相关基因值得进一步深入研究。 相似文献