中国卫生技术评估决策转化体系构建策略——基于'三阶段'分析框架下的典型国家比较

摘要

国际实践已经证明,卫生技术评估(Health Technology Assessment,HTA)的顺畅决策转化对卫生体系可持续健康运行起到了关键作用.本文基于知识转化理论提出的HTA决策转化模式"三阶段"分析框架,包括前期认知准备阶段、决策转化核心阶段以及最终成果实施传播阶段,并利用"三阶段"分析框架,对美、英、德三个典型国家HTA决策转化模式进行梳理与经验分析.最后为促进我国HTA决策转化体系构建提出建议.%International experiences have proved that a smooth health technology assessment ( HTA) decision-making transformation played a key role in maintaining a sustainable health system. Based on the knowledge/decision transformation theory, this paper proposed a novel framework for the analysis of HTA decision transformation models. The framework is the "three-stage" analysis which includes four stages of pre-cognitive preparation, core decision-making transformation and final results implementation, respectively. Using this analytical framework, this paper ana-lyzed and summarized the empirical experiences of HTA decision transformation in three typical countries including the United States, United Kingdom and Germany. Finally some policy recommendations and relevant concrete meas-ures were proposed to promote the construction of an HTA decision-making transformation system in China.