Shanghai Health Development Research Center (Shanghai Medical Information Center).
Medical Administration Center of National Health Commission.
Biosci Trends. 2019 May 12;13(2):110-116. doi: 10.5582/bst.2019.01100. Epub 2019 Apr 20.
As the reform of Chinese medical and health undertakings has advanced (since 2015), the admission, pricing and payment policies regarding the new health technologies of China have undergone significant changes, and health technology assessment (HTA) has gradually become one of the current reform and research hotspots in China. Based on the perspective of HTA driving factors and the development mode, this paper proposes a two-stage mode of HTA development in China, namely, the mode driven by the management of new heath technology admission and another one driven by new health technology pricing and medical insurance payment. In addition, the paper also proposes the challenges that HTA faces in China under the current mode, including the development system, process standard, data mechanism, and policy application. Besides, recommendations are provided for the further development of HTA construction in China, including strengthening the development system of regional HTA centers, formulating HTA process guidance, building a database, improving evaluation quality and intensifying policy integration.
随着中国医疗卫生事业改革的推进（自 2015 年以来），中国新医疗技术的准入、定价和支付政策发生了重大变化，卫生技术评估（HTA）逐渐成为当前中国改革和研究的热点之一。基于 HTA 驱动因素和发展模式的视角，本文提出了中国 HTA 发展的两阶段模式，即由新医疗技术准入管理驱动的模式和由新医疗技术定价和医疗保险支付驱动的模式。此外，本文还提出了当前模式下 HTA 在我国面临的挑战，包括发展体系、流程标准、数据机制和政策应用。此外，还为中国 HTA 建设的进一步发展提供了建议，包括加强区域 HTA 中心的发展体系、制定 HTA 流程指南、建立数据库、提高评估质量和加强政策整合。
