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
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)