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1.中国中医科学院 中医临床基础医学研究所,北京 100700
2.中国中医药循证医学中心,北京 100700
3.中国中医科学院 中医基础理论研究所,北京 100700
戴泽琦,在读博士,从事循证评价和卫生技术评估研究,E-mail:daizq_1015@163.com
赵晖,博士,研究员,从事循证评价和管理决策研究,E-mail:huizh_519@126.com
廖星,博士,研究员,从事循证评价和决策研究,E-mail:okfrom2008@hotmail.com; *
收稿日期:2022-01-17,
网络出版日期:2022-01-26,
纸质出版日期:2022-03-20
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戴泽琦,徐思敏,吴雪等.中医药卫生技术评估应用EVIDEM框架的可行性分析[J].中国实验方剂学杂志,2022,28(06):175-181.
DAI Ze-qi,XU Si-min,WU Xue,et al.Feasibility Analysis of EVIDEM Framework in Health Technology Assessment of Traditional Chinese Medicine[J].Chinese Journal of Experimental Traditional Medical Formulae,2022,28(06):175-181.
戴泽琦,徐思敏,吴雪等.中医药卫生技术评估应用EVIDEM框架的可行性分析[J].中国实验方剂学杂志,2022,28(06):175-181. DOI: 10.13422/j.cnki.syfjx.20220250.
DAI Ze-qi,XU Si-min,WU Xue,et al.Feasibility Analysis of EVIDEM Framework in Health Technology Assessment of Traditional Chinese Medicine[J].Chinese Journal of Experimental Traditional Medical Formulae,2022,28(06):175-181. DOI: 10.13422/j.cnki.syfjx.20220250.
中医药卫生技术评估可为各层次的决策者提供合理选择中医药卫生技术的科学信息和决策依据,但目前尚处于萌芽阶段。未来需要通过加强顶层设计、提升认知和重视程度,推进人才培养和合作,加快符合中医药特色评估标准的研制以促进中医药卫生技术评估的发展。为此,创建适用于中医药卫生技术评估的方法体系和工具至关重要。证据与价值对决策的影响(EVIDEM)框架由EVIDEM协作组开发,将证据与价值相结合,形成了一套较为完整的决策框架体系,可以为医疗保险报销、临床实践、药品遴选等方面的决策提供方法学支撑。EVIDEM框架引入中医药领域具有方法可行性和实践可操作性,但尚需进一步融合中医药特色内容并进行优化,在理论研究有一定支撑的基础上以中成药为切入点开展试点研究,为中医药卫生技术评估的研究工作形成初步框架和实施路径,以期推动卫生决策与成果转化。
Traditional Chinese medicine (TCM) health technology assessment (HTA) provides scientific information and decision-making basis for decision-makers at all levels to choose TCM health technology reasonably. However, it is still in its infancy. In the future, it is necessary to strengthen top-level design, improve cognition and attention, enhance talent training and cooperation, and speed up the development of evaluation criteria in line with the characteristics of TCM, so as to promote the development of HTA in TCM. Therefore, it is imperative to create a method system and tools suitable for TCM HTA. Evidence and value impact on decisionmaking (EVIDEM) framework is developed by EVIDEM collaboration. It combines evidence and value to form a relatively complete decision-making framework system, which can provide methodological support for medical insurance reimbursement, clinical practice decision-making, drug selection and so on. The introduction of EVIDEM framework into the field of TCM has methodological feasibility and practical operability, but it is still necessary to further integrate and optimize the TCM characteristics. On the basis of theoretical research, pilot studies are carried out with Chinese patent medicine as the breakthrough point, forming a preliminary framework and implementation path for the research of TCM HTA, in order to promote healthcare decision-making and achievement transformation.
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