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关于医学创新的公共卫生政策决策:早期经济评估能发挥什么作用?

Public health policy decisions on medical innovations: what role can early economic evaluation play?

作者信息

Hartz Susanne, John Jürgen

机构信息

Friedrich-Schiller-University Jena, Department of Microeconomics, Carl-Zeiss-Strasse 3, 07743 Jena, Germany.

出版信息

Health Policy. 2009 Feb;89(2):184-92. doi: 10.1016/j.healthpol.2008.05.011. Epub 2008 Jul 10.

Abstract

OBJECTIVES

Our contribution aims to explore the different ways in which early economic data can inform public health policy decisions on new medical technologies.

METHODS

A literature research was conducted to detect methodological contributions covering the health policy perspective.

RESULTS

Early economic data on new technologies can support public health policy decisions in several ways. Embedded in horizon scanning and HTA activities, it adds to monitoring and assessment of innovations. It can play a role in the control of technology diffusion by informing coverage and reimbursement decisions as well as the direct public promotion of healthcare technologies, leading to increased efficiency. Major problems include the uncertainty related to economic data at early stages as well as the timing of the evaluation of an innovation.

CONCLUSIONS

Decision-makers can benefit from the information supplied by early economic data, but the actual use in practice is difficult to determine. Further empirical evidence should be gathered, while the use could be promoted by further standardization.

摘要

目标

我们的研究旨在探索早期经济数据为新医疗技术的公共卫生政策决策提供信息的不同方式。

方法

进行了一项文献研究,以发现涵盖卫生政策视角的方法学贡献。

结果

关于新技术的早期经济数据可以通过多种方式支持公共卫生政策决策。嵌入前瞻性扫描和卫生技术评估活动中,它有助于对创新进行监测和评估。它可以通过为覆盖范围和报销决策以及医疗技术的直接公众推广提供信息,在技术传播控制中发挥作用,从而提高效率。主要问题包括早期经济数据的不确定性以及创新评估的时机。

结论

决策者可以从早期经济数据提供的信息中受益,但在实际中的实际应用难以确定。应收集更多实证证据,同时通过进一步标准化来促进其使用。

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