International Practice and Insights on the Medical Insurance Access Mechanism of Medical Service Item Based on HTA
- VernacularTitle:基于HTA的医疗服务项目医保准入机制国际实践与启示
- Author:
Chenxi ZHANG
1
;
Haiyin WANG
;
Xin LIU
;
Chunlin JIN
Author Information
1. 山东第二医科大学公共卫生学院 山东 潍坊 261053
- Keywords:
medical service items;
health technology assessment;
medical insurance access;
insights
- From:
Chinese Health Economics
2024;43(9):92-96
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To discuss how to construct the medical insurance access for medical service items based on Health Tech-nology Assessment(HTA)applicable to China.Methods:This study consolidated the current medical insurance access in some prov-inces and cities from China and identified deficiencies through the expert interview.We summarized the experience and indicators contained in the HTA report in UK and Singapore by using literature analysis.Results:In most regions of China,the management of medical services price is gradually moving from exclusion items based on certain conditions to access approach,lacking of tools for assessment.In UK and Singapore,the medical insurance access mechanism mainly consists of subject selection,scoping,HTA imple-mentation and decision-making,in the HTA report,with the data including clinical evidence,cost evidence and budget impact on health system,etc.Conclusion:Building an evidence-based health policy decision-making framework through multi-criteria deci-sion analysis and the construction of medical insurance access mechanism based on HTA can be achieved by developing national guidelines,multi-scenario HTA systems,and enhancing the supervision on the process of HTA.
