醫療科技評估 Health Technology Assessment
連結醫藥科技研究與政策決定的橋樑 is the systematic evaluation of properties, effects, and/or impacts of health technology

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2. 甚麼時候會用到醫療科技評估? When do we need an HTA?

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       任何的醫療服務,都少不了醫療科技的輔助。這裡所謂的醫療科技,指的是醫療活動中採用的各種技術的總稱,諸如:影像診斷、藥品、生物製劑、醫療器材、內科或外科療程(例如冠狀動脈血管照影、膽囊切除術)、支持系統(例如電腦病歷系統、電子醫療系統、血液銀行、臨床檢驗室等)皆是。簡單的說,從一根簡單的木片壓舌板到複雜的器官移植,都算是醫療科技。因此,醫療科技評估的應用範圍可以很廣泛,只是多數國家會將其應用到健康保險給付審查之新醫療科技之引進。無論是已開發國家或是開發中國家,在醫療照顧的推動上所面臨的共同難題,就是如何在有限的財務預算下,制定合理的醫療照顧分配。不論其策略方針為何,醫療照顧決策者的核心信念,就是做出對民眾的健康福祉最有益的決定,也就是讓花出去的每一分錢都能產生最大的健康價值,至少提供的治療必須是有效果的。

 

Most of the health services require the support of health technologies such as: diagnostic imaging, drugs, biological agents, medical devices, treatment by internal medicine or surgery (e.g. coronary angiography or cholecystectomy) and supported systems (e.g. computerized medical records systems, electronic healthcare systems, blood banks or clinical laboratories). From a simple wooden tongue depressor to a complicated organ transplant, anything used in healthcare service is considered as a health technology. HTA can be applied in a wide range, however, most countries use it in the introducing new technology such as new drug into the reimbursement system of health insurance. For both developed and developing countries, a common dilemma on providing healthcare is the reasonable allocation of healthcare resources under a limited budget. Regardless of the decision-making strategy, the core belief of healthcare policymakers is to make decisions that are most beneficial to the health and well-being of the public. In other words, the policymakers have to ensure that every cent spent can generate the greatest health benefit, and the provided healthcare must at least be effective.