The Shasha Center for Strategic Studies, The Federmann School of Public Policy and Government, The Hebrew University of Jerusalem, Jerusalem, Israel.
Health Policy. 2009 Oct;92(2-3):268-75. doi: 10.1016/j.healthpol.2009.04.003. Epub 2009 May 31.
Innovative health technologies are often the focus of attention. However, in the allocation of public resources for improving health, the focus should be on the health needs of the population. It is the need that should be analyzed first, and decision makers should then evaluate the full range of interventions available, whether new or old, to meet this need. This is in contrast to analyzing the technology first and then characterizing the need it meets, which is the current practice in reimbursement decision-making in several countries. The identified health need should define national health goals, and these goals should be proactively assimilated into the reimbursement decision-making process. Differential reimbursement rates could reflect the relative contribution of the technology to the unmet health need.
创新的卫生技术往往是关注的焦点。然而，在分配用于改善健康的公共资源时，重点应放在人口的健康需求上。应首先分析需求，决策者然后应评估现有各种干预措施，无论是新的还是旧的，以满足这一需求。这与先分析技术然后描述其满足的需求形成对比，而后者是目前一些国家在报销决策中的做法。已确定的健康需求应定义国家卫生目标，并且这些目标应积极纳入报销决策过程。差别报销率可以反映技术对未满足的健康需求的相对贡献。
