Pearson Steven D, Rawlins Michael D
National Institute for Clinical Excellence, London, England.
JAMA. 2005 Nov 23;294(20):2618-22. doi: 10.1001/jama.294.20.2618.
The National Institute for Health and Clinical Excellence (NICE) was established as a part of the British National Health Service in 1999 to set standards for the adoption of new health care technologies and the management of specific conditions. In doing so it was required explicitly to take into account both clinical effectiveness and cost-effectiveness. This article describes how NICE has responded to the challenge and considers whether its experience of balancing quality, innovation, and value for money holds policy lessons for the United States.
英国国家卫生与临床优化研究所（NICE）于1999年作为英国国家医疗服务体系的一部分而成立，旨在为新医疗技术的采用和特定病症的管理制定标准。在此过程中，明确要求其兼顾临床疗效和成本效益。本文描述了NICE如何应对这一挑战，并探讨其在平衡质量、创新和性价比方面的经验是否能为美国提供政策借鉴。
