ABSTRACT
International experiences have proved that a smooth health technology assessment ( HTA) decision-making transformation played a key role in maintaining a sustainable health system. Based on the knowledge/decision transformation theory, this paper proposed a novel framework for the analysis of HTA decision transformation models. The framework is the three-stage analysis which includes four stages of pre-cognitive preparation, core decision-making transformation and final results implementation, respectively. Using this analytical framework, this paper ana-lyzed and summarized the empirical experiences of HTA decision transformation in three typical countries including the United States, United Kingdom and Germany. Finally some policy recommendations and relevant concrete meas-ures were proposed to promote the construction of an HTA decision-making transformation system in China.
ABSTRACT
Germany has a similar health insurance system as China, and has already formed standardized management processes as well as efficient decision-making transformation paths for health technology assessment (HTA) that perform well mainly based on three major HTA institutions at the national level.The HTA decision-making transformation system in Germany has proven to be a typical representative in evidence-based decision-making for health policies worldwide.Based on the outcomes of literature analysis and field research, this paper summarizes the paths and methods of Germany's HTA decision-making transformation, and finally proposes several targeted policy recommendations to promote the HTA decision-making transformation in China.
ABSTRACT
The chronic non-communicable diseases ( NCDs) cause a very big threat on the health of residents . Therefore , chronic disease management has always been an important part of China's health policy , and hence comes to be the main focus of our work .Through the literature research and related policies analysis , this paper reviews the chronic disease management in China from the macro-policy, meso-coordination between institutions and organiza-tions, and micro-patients and population levels of chronic disease management process to sort out induction .Based on the actual situation of the chronic disease management in China , this paper proposes policy recommendations to fur-ther implement the management of chronic conditions of China .Finally, several development proposals:China's fu-ture chronic disease management works should focus on refining theoretical model and frameworks ;constructing an in-tegrated network through combining the treatment of chronic disease management services with the implementation of healthcare reforms and the tiered-medical systems development; and accelerate the upgrading of chronic disease management's“terminal” capacity-building .