德国卫生技术评估决策转化路径及方法探析

摘要

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.%德国与我国有着相似医疗保障体系背景,并且已经形成以国家层面三大卫生技术评估(Health Technology Assessment, HTA)机构为主的严谨的HTA管理流程和高效的决策转化路径,是全球基于HTA进行卫生领域循证决策的典型代表.本文通过文献研究和实地调研,分析梳理了德国HTA应用及其决策转化的路径和方法,最终结合我国现阶段HTA决策转化面临的问题和挑战,有针对性地提出了几条促进我国HTA决策转化的启示性建议.