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基于价值的医疗器械采购:一项范围综述。

Value-Based procurement for medical devices: A scoping review.

作者信息

Rahmani Keyvan, Karimi Saeed, Rezayatmand Reza, Raeisi Ahmad Reza

机构信息

Department of Health Services Management, School of Management and Medical Information Sciences, Isfahan University of Medical Sciences, Isfahan, Iran.

Health Management and Economics Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.

出版信息

Med J Islam Repub Iran. 2021 Oct 13;35:134. doi: 10.47176/mjiri.35.134. eCollection 2021.

Abstract

Despite this seemingly simple definition of value in different perspectives, the definition of value-based procurement for medical devices is still unclear. This study aimed to delineate the definition of value-based procurement for medical devices and its characteristics. According to the systematic method for scoping review described by Arksey and O'Malley, we reviewed related literature through target databases (PUBMED, ProQuest, Web of Science, Scopus, and Science Direct) during 2004-2020. The publications that focused on the procurement of medical devices and address the issue of value in procurement were selected. The publications whose full-text was not available and were not in English were excluded. By using data charting tables, selected articles were reviewed and concepts and definitions were extracted. According to the eligibility criteria and reference checking, 24 documents were selected. There are different definition and understanding for value-based procurement (VBP). Identified characteristics of VBP are information, actors Collaboration, patient experience, value analysis team, ability to evaluate alternatives, value proposition, competitive dialogue, and weighing evaluation criteria. VBP is a framework that guides the review and decision-making to procure medical devices. In this framework, all dimensions of the value equation (outcome/related costs) must be considered and weighted. Health systems need to work on identified aspects.

摘要

尽管从不同角度来看价值的定义看似简单,但医疗器械基于价值的采购定义仍不明确。本研究旨在明确医疗器械基于价值的采购定义及其特征。根据阿克西和奥马利描述的范围综述系统方法,我们在2004年至2020年期间通过目标数据库(PUBMED、ProQuest、Web of Science、Scopus和Science Direct)对相关文献进行了综述。选取了专注于医疗器械采购并涉及采购中价值问题的出版物。排除了全文不可获取以及非英文的出版物。通过使用数据图表,对所选文章进行了综述并提取了概念和定义。根据纳入标准和参考文献核对,选取了24份文献。对于基于价值的采购(VBP)存在不同的定义和理解。已确定的VBP特征包括信息、行为者协作、患者体验、价值分析团队、评估替代方案的能力、价值主张、竞争性对话以及权衡评估标准。VBP是一个指导医疗器械采购审查和决策的框架。在这个框架中,必须考虑并权衡价值等式(结果/相关成本)的所有维度。卫生系统需要在已确定的方面开展工作。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6001/8840896/a74b361427f8/mjiri-35-134-g001.jpg

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