Applications of health technology assessment in value-based management of total health expenditure

Ningze Xu, K. Zhu, Lizheng Shi, Xiaoguang Yang, Yingyao Chen
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Abstract

Unreasonable growth of total health expenditure at various extent has been found to be prevalent among many countries for a long time. Thus how to deal with this global public health challenge has become a hot topic among the consumers, providers, and payers alike. Echoing the global trend of value-based healthcare, value-based management of total health expenditure could be a direction of cost containment in the future. Through promoting the rational development of healthcare industry, assisting the decision-making of health insurance authority, improving health authority′s supervision of health technology allocation and utilization, maximizing resource utilization efficiency at hospitals, standardizing physician practices, guiding patients′ medication preferences and behaviors, health technology assessment could mobilize stakeholders′ participation in the value-based management of total health expenditure and serve as an important decision-making tool to optimize the allocation and utilization of scarce health resources, reducing and avoiding waste in healthcare sector, and promoting high-value and sustainable development of total health expenditure. Key words: Technology assessment, biomedical; Health technology assessment; Value-based healthcare; Total health expenditure; Health insurance
卫生技术评价在卫生总支出价值管理中的应用
长期以来,卫生总支出不同程度的不合理增长在许多国家普遍存在。因此,如何应对这一全球公共卫生挑战已成为消费者、提供者和付款人之间的热门话题。与以价值为基础的医疗保健的全球趋势相呼应,以价值为基础的卫生总支出管理可能是未来成本控制的一个方向。通过促进医疗健康产业合理发展,协助医保管理部门决策,提高卫生管理部门对卫生技术配置和利用的监管,最大限度提高医院资源利用效率,规范医师执业,引导患者用药偏好和行为,卫生技术评价可以调动利益相关方参与卫生总支出价值化管理,是优化稀缺卫生资源配置和利用、减少和避免卫生部门浪费、促进卫生总支出高价值可持续发展的重要决策工具。关键词:技术评价;生物医学;卫生技术评价;基于价值的医疗保健;保健支出总额;健康保险
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