临床实践指南中卫生经济学证据的考量:方法与步骤

Consideration of Health Economics Evidence in Clinical Practice Guidelines: Methods and Steps

  • 摘要: 卫生经济学证据在临床实践指南制订中发挥着连接临床价值证据与卫生资源配置决策的重要作用。它不仅能够有效平衡临床有效性与经济可行性,还能避免形成脱离医疗体系支付能力或患者负担水平的“理想化”推荐。为促进指南制订者更加规范、充分地运用卫生经济学证据,本文深入分析了当前指南中卫生经济学证据的应用现状、面临的挑战、获取的途径以及应用流程,并在此基础上提出了我国临床实践指南中加强和规范卫生经济学证据应用的思考与建议。

     

    Abstract: Health economics evidence plays an important role in linking clinical value evidence with health resource allocation decisions in the development of clinical practice guidelines. It can not only effectively balance clinical effectiveness and economic feasibility but also avoid forming "idealized" recommendations that are detached from the affordability of the healthcare system or the burden-bearing capacity of patients. To promote guideline developers to use health economics evidence more standardizedly and fully, this paper conducts an in-depth analysis of the current application status, existing challenges, access channels, and application processes of health economics evidence in current guidelines, and on this basis, puts forward considerations and suggestions for strengthening and standardizing the application of health economics evidence in China's clinical practice guidelines.

     

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