1.Exploring the Value Evaluation Framework for High-Value Medical Consumables Access Management in China
Yingyao CHEN ; Yue XIAO ; Liping MA ; Chunlin JIN ; Qing LIU ; Jiaye LENG ; Jiuhong WU ; Libo TAO ; Haiyin WANG ; Minggang WANG ; Wudong GUO ; Li XIE ; Wenbo QI ; Yuanjin JI ; Kun ZHAO ; Shanlian HU
Chinese Health Economics 2023;42(12):3-8
Objective:To construct a value evaluation framework for high-value medical consumables,providing a guidance for medical insurance access and hospital access management scenarios in China.Methods:It conducted literature review,qualitative in-terviews and quantitative surveys.A total of 12 experts were invited for qualitative interviews,while 100 experts from four fields of health technology assessment,medical insurance,hospital management,and clinical practice participated in the quantitative survey.Through those process,it generated the composition of the value framework and the scoring of each item.Differences in ratings be-tween different scenarios and experts were analyzed through chi-square tests.The recommendation level for each item was graded.Re-sults:A comprehensive value evaluation framework for high-value medical consumables was established,which included 6 core dimen-sions,comprised 16 items for secondary dimensions and 50 items for tertiary dimensions.It showed significant differences between the medical insurance access and hospital access scenarios,as well as among different fields of experts in the same scenario.furthermore,grading the items in two scenarios.The medical insurance access scenario had 8 highly recommended items,and the hospital access scenario had 24 highly recommended items.Conclusion:Value evaluation should encourage multi-dimensional assessments and inter-disciplinary participation,continually improving the management of high-value medical consumables in medical insurance and hospital access.
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