| 引用本文：唐檬,陈英耀,茅艺伟,等.我国髋关节置换相关卫生技术评估与政策的关系：研究是否影响政策制定[J].中国卫生政策研究,2013,6(7):20-27 |
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| 我国髋关节置换相关卫生技术评估与政策的关系：研究是否影响政策制定 |
| 投稿时间：2013-03-24 修订日期：2013-07-09 PDF全文浏览 HTML全文浏览 |
| 唐檬1, 陈英耀1, 茅艺伟1, 刘文彬1, 庞伟明2, 施李正3, 董恒进4 |
| 1.复旦大学公共卫生学院 卫生部卫生技术评估重点实验室;2.加拿大劳伦森大学乡镇和北部卫生服务研究所和北安大略省医学院;3.美国杜兰大学公共卫生和热带病学院;4.浙江大学医学院 |
| 摘要:目的：通过对中国髋关节置换相关卫生技术评估文献数量和内容分析，并与卫生部出台的相关卫生政策进行比较，初步分析卫生技术评估与卫生政策出台之间的对应关系。方法：通过文献检索收集1975—2012年相关的系统评价和meta分析文献，与在卫生部官方网站获得的髋关节置换相关政策进行比较，研究其中的对应关系。结果:卫生部在2005年出台了第一份关于髋关节置换技术准入的政策文件，但很难从中找出与相关研究之间的关系。而在卫生部2009年出台的两项关于髋关节置换单病种质量控制的文件中，则可以发现卫生技术评估与政策之间的联系。2012年卫生部出台了最新的髋关节相关政策则与2009—2012年间发表的meta分析主要结果有较高的一致性。结论:高等级证据的研究结果包括系统评价和meta分析研究与卫生政策的出台在时间和内容方面存在一定关联性，决策机构可能在政策制定过程中考虑相关研究信息，但研究对政策制定与出台的影响需进一步证据与分析来确定。 |
| 关键词:髋关节置换 卫生技术评估 政策 对应性 |
| 基金项目:中华医学基金会（CMB）资助项目（11 070） |
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| Health technology assessments and health policies on hip replacement in China: Whether or not research informs policy making |
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| Abstract:Objective: This paper is to explore the correspondence between health technology assessments and policies on hip replacements in China by comparing research on hip replacements with policies issued by the Ministry of Health. Methods: This study retrieved systematic reviews and meta analyses on hip replacements from 1975 to 2012 and collected Ministry of Health policies on hip replacements, and analyzed these policies in light of the research done. Results: The Ministry of Health released its first policy on hip replacements in 2005 for approving hip replacement applications. However, the influence of health technology assessments in this policy was not evident. In 2009, two policies related to single disease quality control were released, and there is evidence that these policies were partly informed by meta analysis of hip replacements. The latest policies on hip replacements were released in 2012. These policies reflect meta analyses published between 2009 and 2012. Conclusions: Although it has not always been the case, health technology assessments including systematic reviews and meta analyses are now being considered by the Ministry of Health when they formulate national policies on hip replacements. |
| Key words:Hip replacement Health technology assessment Policy Correspondence |
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