1、HTARC Fudan University Monitoring GARD Initiative -Shanghai Pilot Study on HTA Professor Jie Chen Key Lab of Health Technology Assessment, MOH HTARC Fudan University Outline提纲 一 、 Overview of Health Technology & Assessment( HTA) 卫生技术和卫生技术评估概述 二 、 The Role of HTA for GARD* Action Plan 卫生技术评估在 GARD行动计
2、划中的作用 三、 Shanghai Pilot Study on QC&HTA QC&HTA的上海试点研究 四 、 QCCRM work in Shanghai QCCRM在上海开展的工作 * GARD： Global Alliance Against Chronic Respiratory Diseases 慢性呼吸病防治全球联盟 HTARC Fudan University 一、 Overview of Health Technology & Assessment(HTA) 卫生技术和卫生技术评估概述 HTARC Fudan University Health Technology （ H
3、T） Definition 卫生技术的定义 Health Technology is considered to include the drugs, devices, medical and surgical procedures used in healthcare delivery, the knowledge associated with this, as well as the organisational and support systems within which such care is provided 卫生技术是指用于医疗保健的 药物 ， 仪器设备 ，内、外科 程序
4、及相关的 组织管理系统 和 支持系统 的特定的 知识体系 HTARC Fudan University Support system 支持系统 Components of HT 卫生技术的组成 Procedure 程序 Knowledge 知识 Medical Device 医学装置 Drugs 药物 Equipment 设备 HTARC Fudan University HTA Definition 定义 (1) HTA is a systematical evaluation on property, effects and other impacts of HT 对卫生技术的性质，效果和
5、其他影响进行系统评价 HTA is a comprehensive form of policy research that examines the short- and long-term social consequences of the application or use of technology 对技术应用形成的短期和长期社会影响进行政策研究的 一种综合形式 HTA aims to provide useful information to health policies- making 目的是为卫生技术领域的政策制订提供信息 HTARC Fudan University HT
6、A can foresee the directed, expected outcome of HT, deal with the indirected, unexpected outcome caused by HT 可以预测卫生技术直接带来的效果和间接的意外后果 HTA employs the specific framework and methods 采用独特的分析框架和方法 HTA is performed by multi-discipline collaboration 卫生技术评估由多学科合作来完成 HTA Definition 定义 (2) HTARC Fudan Unive
7、rsity Basic HTA Orientations 基本卫生技术评估导向 Technology-oriented assessments are intended to determine the characteristics or impacts of particular technologies. 技术导向型的评估 旨在判定特定技术的特征（性质）或影响； Problem-oriented assessments focus on solutions or strategies for managing a particular problem for which alternat
8、ive or complementary technologies might be used. 问题导向型的评估 关注处理特定问题的办法或策略，对于该问题可能会使用不 同的备选技术或补充技术 ； Project-oriented assessments focus on a local placement or use of a technology in a particular institution, program, or other designated project. 方案导向型的评估 关注特定技术在特定机构、计划或其他指定方 案中的具体应用。 HTARC Fudan Univ
9、ersity Why HTA is necessary? 卫生技术评估的必要性 Technology as two sides of a coin 技术具有两重性 Advantages利 Technology innovation 技术创新 Improve medical quality 改善医疗质量 Enhance populations health 提高人群健康 Disadvantages弊 Adverse effects caused by technologies 技术带来的负面后果 Ethic dispute 伦理争论 Excess increase of medical expense 医疗费用过度增长 HTARC Fudan University Why HTA is necessary? 卫生技术评估的必要性 Visibility of new technologies 新技术的广泛使用 High expenditures for health care 医疗费用的不断上涨 Necessity to begin to rationalize health care technology 卫生技术资源优化的要求
