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医保目录动态调整背景下溢出效应在卫生技术评估中应用的挑战与对策

曹林林 陈斌斌

中国药物经济学2025,Vol.20Issue(4):5-8,14,5.
中国药物经济学2025,Vol.20Issue(4):5-8,14,5.DOI:10.12010/j.issn.1673-5846.2025.04.001

医保目录动态调整背景下溢出效应在卫生技术评估中应用的挑战与对策

Exploration of the Challenges and Countermeasures of Health Technology Assessment from the Perspective of Spillover Effects on China's Medical Insurance Decision-making

曹林林 1陈斌斌2

作者信息

  • 1. 浙江药科职业大学药商学院,浙江 宁波 315500
  • 2. 沈阳药科大学工商管理学院,沈阳 110016
  • 折叠

摘要

Abstract

With the advancement of medical technology and the aging of the population,medical expenses continue to rise,and the medical insurance fund is under tremendous pressure.Health technology assessment(HTA),as an important tool in medical insurance decision-making,provides a basis for decisions such as the adjustment of the medical insurance catalog and price negotiations.However,traditional HTA is mostly based on the perspective of basic medical insurance payers,focusing on the direct medical costs and health outputs of individual patients,and ignoring the indirect impacts of the application of health technologies on patients'families and society,that is,the spillover effects.Therefore,from the perspective of spillover effects,this paper deeply explores the various challenges it poses to China's medical insurance decision-making,and puts forward practical countermeasures in a targeted manner,aiming to provide a reference for improving China's HTA system and optimizing medical insurance decision-making.

关键词

溢出效应/卫生技术评估/医保决策/挑战/对策

Key words

Spillover effects/Health technology assessment/Medical insurance decision-making/Challenges/Countermeasures

分类

预防医学

引用本文复制引用

曹林林,陈斌斌..医保目录动态调整背景下溢出效应在卫生技术评估中应用的挑战与对策[J].中国药物经济学,2025,20(4):5-8,14,5.

基金项目

2023年浙江省药学会药物经济学与卫生技术评估专项科研资助项目(2023ZYJ06) (2023ZYJ06)

中国药物经济学

1673-5846

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