Flinders Health and Medical Research Institute, Flinders University, Adelaide, SA, Australia.
Macquarie University Centre for the Health Economy, Macquarie University, Macquarie Park, NSW, Australia.
Int J Health Policy Manag. 2021 Jan 1;10(1):36-38. doi: 10.15171/ijhpm.2020.04.
In a review recently published in this journal, Grutters et al outline the scope and impact of their early health economic modelling of healthcare innovations. Their reflections shed light on ways that health economists can shift-away from traditional reimbursement decision-support, towards a broader role of facilitating the exploration of existing care pathways, and the design of options to implement or discontinue healthcare services. This is a crucial role in organisations that face constant pressure to react and adapt with changes to their existing service configurations, but where there may exist significant disagreement and uncertainty on the extent to which change is warranted. Such dynamics are known to create complex implementation environments, where changes risk being poorly implemented or fail to be sustained. In this commentary, we extend the discussion by Grutters et al on early health economic modelling, to the evaluation of complex interventions and systems. We highlight how early health economic modelling can contribute to a participatory approach for ongoing learning and development within healthcare organisations.
在最近发表于该期刊的一篇综述中，Grutters 等人概述了他们早期医疗保健创新的卫生经济建模的范围和影响。他们的反思揭示了卫生经济学家如何从传统的报销决策支持转变，以更广泛地促进现有护理途径的探索，并设计实施或停止医疗服务的方案。在那些面临不断的压力，需要对现有服务配置进行反应和调整的组织中，这是一个至关重要的角色，但在多大程度上需要改变可能存在很大的分歧和不确定性。众所周知，这种动态会产生复杂的实施环境，在这种环境中，改变可能实施不当或无法持续。在这篇评论中，我们扩展了 Grutters 等人对早期卫生经济建模的讨论，将其扩展到对复杂干预措施和系统的评价。我们强调了早期卫生经济建模如何为医疗保健组织内的持续学习和发展提供一种参与式方法。
