[1]杨婷婷,薛允莲,吴伟旋,等.高值医用耗材评价的难点分析与方法优化 ——基于多维度分析[J].卫生经济研究,2025,42(11):54-57.
 YANG Tingting,XUE Yunlian,WU Weixuan,et al.Analysis of Challenges and Optimization of Methods in the Evaluation of High-Value Medical Consumables ——Based on a Multi-Dimensional Analysis[J].Journal Press of Health Economics Research,2025,42(11):54-57.
点击复制

高值医用耗材评价的难点分析与方法优化
——基于多维度分析

卫生经济研究[ISSN:1004-7778/CN:33-1056/F]

卷:
42
期数:
2025年11期
页码:
54-57
栏目:
药械管理
出版日期:
2025-11-04

文章信息/Info

Title:
Analysis of Challenges and Optimization of Methods in the Evaluation of High-Value Medical Consumables
——Based on a Multi-Dimensional Analysis
作者:
杨婷婷1薛允莲2吴伟旋3许 军14
1.南方医科大学公共卫生学院,广东 广州 510515
2.南方医科大学附属广东省人民医院(广东省医学科学院),广东 广州 510080
3.南方医科大学南方医院,广东 广州 510515
4.南方医科大学中西医结合医院,广东 广州 510315
Author(s):
YANG Tingting XUE Yunlian WU Weixuan XU Jun
School of Public Health, Southern Medical University, Guangzhou Guangdong 510515, China
关键词:
高值医用耗材评价卫生技术评估应用场景
Keywords:
high-value medical consumables assessment health technology assessment application scenarios
分类号:
R19
文献标志码:
A
摘要:
目的:从多维度视角探讨高值医用耗材评价的优化路径,为健全高值医用耗材评价机制提供理论支持。方法:梳理高值医用耗材管理和评价相关政策文件,总结分析高值医用耗材评价的难点。结果:高值医用耗材具有种类多、使用风险高、依赖医生操作、临床数据缺乏等特点,评价成本高、难度大。结论:目前,对高值医用耗材的安全性、有效性和经济性评价已取得一定进展,但需进一步量化评价指标、丰富理论基础、完善评价维度,并强化评价结果应用,最终构建具有中国特色的医用耗材管理决策支持系统。
Abstract:
Objective To explore optimization pathways for evaluating high-value medical consumables from a multi-dimensional perspective, and to provide theoretical support for improving the evaluation mechanism. Methods Relevant policy documents on the management and evaluation of high-value medical consumables were reviewed, and challenges in evaluating high-value medical consumables were summarized and analyzed. Results High-value medical consumables exhibited characteristics such as wide variety, high usage risks, reliance on doctor operation, and insufficient clinical data, resulting in high evaluation costs and significant challenges. Conclusion At present, the methodology for assessing the safety, efficacy, and cost-effectiveness of high-value medical consumables has made progress. It is advisable to quantify evaluation indicators, enrich theoretical foundations, refine evaluation dimensions, and strengthen the application of evaluation results. Ultimately, this will facilitate the construction of a medical consumables management decision support system with Chinese characteristics.

参考文献/References:

[1] 唐艳艳,王雪梅,胡蓉蓉,等.基于中断时间序列分析的江苏省某三甲综合医院冠脉支架集中带量采购政策实施效果研究[J].中国卫生事业管理,2024,41(04):384-389.
[2] 王智俊.上海市公立医院人工晶体带量采购政策执行研究[D].上海:华东师范大学,2023.
[3] 陈雅静,应晓华,唐雪,等.加拿大卫生技术评估在医保领域应用的经验与启示[J].中国卫生事业管理,2023,40(10):751-753,779.
[4] 卫生部等印发《高值医用耗材集中采购工作规范》[EB/OL].[2022-12-17].http://www.gov.cn/gzdt/2013-01/15/content_2312740.htm.
[5] 国家卫生健康委办公厅.关于印发第一批国家高值医用耗材重点治理清单的通知[EB/OL].(2020-01-14).http://www.nhc.gov.cn/yzygj/s7659/202001/cda01eb5df714bfa a29962a31f4b0c87.shtml.
[6] O'Rourke B,Oortwijn W,Schuller T,et al.The new definition of health technology assessment:a milestone in international collaboration[J].Int J Technol Assess Health Care,2020,36(03):187-190.
[7] 王锐,李佳明,李伟,等.高值医用耗材医保准入的分类评估机制研究[J].中国医疗保险,2024(06):21-28.
[8] 陈毅捷,王广平,孙国君.高值医用耗材带量采购的卫生技术评估[J].中国药物经济学,2022,17(04):19-23,38.
[9] Wilson N A,Schneller E S,Montgomery K,et al.Hip and knee implants:current trends and policy considerations[J].Health affairs,2008,27(06):1587-1598.
[10] Dejohn P.The last frontier:saving on M.D.preference items[J].Hospital Material Management,2005,30(06):1,9.
[11] 马越,徐雨婷,魏琪然,等.医用耗材经济性评价方法研究及启示——基于各国医疗器械经济性评价指南[J].卫生经济研究,2022,39(11):55-60.
[12] 郑洋洋,丁锦希,李佳明,等.高值耗材实施集中带量采购的主要障碍及对策研究[J].卫生经济研究,2021,38(04):35-38.
[13] 杨晓冬.高分子耗材可沥滤物的安全性评价[J].中国医疗器械杂志,2016,40(06):434-437.
[14] 周小欧,揭英纯,修静,等.不同药物支架对冠心病介入治疗的有效性及安全性的影响分析[J].新疆医科大学学报,2020,43(12):1609-1612.
[15] 朱丹丹,高关心,唐佳,等.不同材料的心脏血管支架治疗冠心病的临床效果分析[J].中国医学装备,2021,18(05):47-50.
[16] 孙黄颖,孙巧,李弯,等.建立医用耗材综合价值评估指标体系初探[J].中国医疗保险,2021(11):34-38.
[17] 华婷,郑焜,郦柏平,等.医疗机构高值耗材准入管理中卫生技术评估指标量表的探索[J].中国医疗设备,2022,37(01):1-4,19.
[18] 林海蓓,刘昕,罗莉,等.基于多准则决策分析的公立医院高值医用耗材准入指标及权重研究[J].中国卫生质量管理,2023,30(11):64-68.

相似文献/References:

[1]刘晓君,文小桐,张 琎,等.对新农合认知与评价的动态追踪调查[J].卫生经济研究,2017,(01):39.
[2]黄 理,路 云,段承阿鑫.卫生技术评估在高值医用耗材供应保障中的应用价值及其实现[J].卫生经济研究,2018,(10):10.
 HUANG Li,LU Yun,DUAN Cheng-a-xin.The Application Value and Its Realization of Health Technology Assessment in the Supply Security of High-value Medical Consumables[J].Journal Press of Health Economics Research,2018,(11):10.
[3]江蒙喜.县域医共体改革发展效果的评价指标体系构建——基于浙江省德清县的案例研究[J].卫生经济研究,2018,(12):11.
 JIANG Meng-xi.Construction of Evaluation Index System for the Effect of County Medical Community Reform and Development——Based on the Case Study of Deqing ProvinceCounty,Zhejiang[J].Journal Press of Health Economics Research,2018,(11):11.
[4]胡宗铃,傅鸿鹏.高值医用耗材采购管理的国际经验及启示[J].卫生经济研究,2019,(07):8.
 HU Zong-ling,FU Hong-peng.International Experience and Enlightenment of Procurement Management of High Value Medical Consumables[J].Journal Press of Health Economics Research,2019,(11):8.
[5]谭华伟,焦培峻,王彩云.高值医用耗材医保准入与支付机制的 国际经验与中国实践[J].卫生经济研究,2021,38(3):44.
 TAN Hua-wei,JIAO Pei-jun,WANG Cai-yun.International Experience and Chinese Practice of Medical Insurance Access and Payment Mechanism for High Value Medical Consumables[J].Journal Press of Health Economics Research,2021,38(11):44.
[6]周菁菁,谈在祥.国家组织冠脉支架集中带量采购的实施情况及建议[J].卫生经济研究,2021,38(11):3.
 ZHOU Jing-jing,TAN Zai-xiang.Implementation and Suggestions of Centralized Volume-based Procurement of Coronary Stent by National Organization[J].Journal Press of Health Economics Research,2021,38(11):3.
[7]张倩倩,王 颖,肖启强,等.公立医院开展高值医用耗材集中带量采购的实践探讨[J].卫生经济研究,2022,39(11):51.
 ZHANG Qianqian,WANG Ying,XIAO Qiqiang,et al.Discussion on the Practice of Centralized Volume-Based Procurement of High-Value Medical Consumables in Public Hospitals[J].Journal Press of Health Economics Research,2022,39(11):51.
[8]孙李丽,毛 英,张馨怡,等.国家集中带量采购冠脉支架对住院费用的影响研究[J].卫生经济研究,2023,40(5):55.
 SUN Lili,MAO Ying,ZHANG Xinyi,et al.Study on the Effect of National Centralized Volume-based Procurement of Coronary Stents on Hospitalization Costs[J].Journal Press of Health Economics Research,2023,40(11):55.
[9]方中坚,王彩依,沈 晨,等.高值医用耗材集采现状、问题及对策[J].卫生经济研究,2023,40(9):23.
 FANG Zhongjian,WANG Caiyi,SHEN Chen,et al.Current Situation, Problems and Countermeasures of Centralized Procurement of High-value Medical Consumables[J].Journal Press of Health Economics Research,2023,40(11):23.
[10]唐璋淳,顾灵娜,王琳宁,等.供应链视角下高值医用耗材集采执行 问题分析和政策建议[J].卫生经济研究,2025,42(01):35.
 TANG Zhangchun,GU Lingna,WANG Linning,et al.Study on Issues and Policy Recommendations of the Implementation of Centralized Volume-based Procurement for High-value Medical Consumables from the Perspective of Supply Chain[J].Journal Press of Health Economics Research,2025,42(11):35.

更新日期/Last Update: 2025-11-04