Abstract:
In the pursuit of universal health coverage, countries are invariably confronted with questions about which services to pay with public funds, to whom, and at what cost. Such priority-setting processes have major ramifications for the costs and benefits of care delivered. These processes are not just technical, but also highly political and organizational in nature and expressions of social values. This special issue focuses on building institutions for priority setting in health. These institutions serve a public purpose and are primarily concerned with conducting or using health technology assessment (HTA) to inform resource allocation decisions. We first define the concept of institutions for priority setting in health and the methodological considerations of assessing and evaluating these institutions. Next, we present key common themes and summarize key messages across the articles, including lessons learned and future challenges in building these institutions.
摘要:
为了实现全民健康覆盖,各国总是面临着用公共资金支付哪些服务的问题,给谁,以什么代价。这种确定优先级的过程对所提供护理的成本和收益产生重大影响。这些过程不仅仅是技术性的,而且具有高度的政治性和组织性以及社会价值观的表达。本特刊侧重于建立机构以确定卫生优先事项。这些机构服务于公共目的,主要关注进行或使用卫生技术评估(HTA)来指导资源分配决策。我们首先定义卫生优先设置机构的概念以及评估和评估这些机构的方法考虑因素。接下来,我们提出关键的共同主题,并总结文章中的关键信息,包括在建立这些机构方面吸取的经验教训和未来的挑战。