衛(wèi)生經(jīng)濟(jì)分析與評價課件

衛(wèi)生經(jīng)濟(jì)學(xué)評價衛(wèi)生事業(yè)管理教研室衛(wèi)生經(jīng)濟(jì)學(xué)評價1問題1:十二指腸球部潰瘍治療方案的選擇≤制酸治療:sH2受體拮抗劑?≈質(zhì)子泵抑制劑?s抗Hp治療:≈質(zhì)子泵抑制劑+抗生素?鉍劑+抗生素?問題1:2衛(wèi)生經(jīng)濟(jì)分析與評價課件3問題3醫(yī)院有1000萬元錢購買一臺核磁共振機(jī)還銀行的貸款?問題34矛盾:衛(wèi)生資源是有限的醫(yī)療保健的需求無限衛(wèi)生經(jīng)濟(jì)學(xué)研究的目的以最合理有效的方式分配和利用有限的衛(wèi)生資源矛盾:5第一節(jié)衛(wèi)生經(jīng)濟(jì)學(xué)評價概述衛(wèi)生經(jīng)濟(jì)學(xué)評價的定義和目的衛(wèi)生經(jīng)濟(jì)學(xué)評價的定義:應(yīng)用一定的技術(shù)經(jīng)濟(jì)分析與評價方法將相關(guān)衛(wèi)生規(guī)劃或衛(wèi)生活動的投入和產(chǎn)出相聯(lián)系進(jìn)行比較評價。第一節(jié)衛(wèi)生經(jīng)濟(jì)學(xué)評價概述6二、衛(wèi)生經(jīng)濟(jì)學(xué)評價目的論證某衛(wèi)生規(guī)劃或衛(wèi)生活動實施方案的可行性;2.比較改善同一健康問題的各個方案;3.比較改善不同健康問題的各個方案;二、衛(wèi)生經(jīng)濟(jì)學(xué)評價目的7、衛(wèi)生經(jīng)濟(jì)學(xué)評價可以應(yīng)用的領(lǐng)域1.應(yīng)用于預(yù)防保健領(lǐng)域2.應(yīng)用于技術(shù)評估領(lǐng)域3.評價并比較疾病的各種治療方案,選擇最佳方案4.應(yīng)用于藥品研究領(lǐng)域,如藥品經(jīng)濟(jì)學(xué)5.評價并比較各項投資方案并作出決策、衛(wèi)生經(jīng)濟(jì)學(xué)評價可以應(yīng)用的領(lǐng)域8四、衛(wèi)生經(jīng)濟(jì)學(xué)評價的步驟、明確評價目的2.明確待評價的方案3.各個方案投入的測量(成本)4.每個方案產(chǎn)出的測量5.貼現(xiàn)6.敏感性分析7.投入產(chǎn)出分析定量評價8.確定方案,得出結(jié)論四、衛(wèi)生經(jīng)濟(jì)學(xué)評價的步驟9衛(wèi)生經(jīng)濟(jì)分析與評價的基本步驟確定方案的目的確定各種備選方案成本估計出的測量結(jié)果貨幣表示產(chǎn)出結(jié)果不用貨幣表示貼現(xiàn)靈敏度分析與效益比較成本與效果比較作出評價衛(wèi)生經(jīng)濟(jì)分析與評價的基本步驟10衛(wèi)生經(jīng)濟(jì)分析與評價課件11衛(wèi)生經(jīng)濟(jì)分析與評價課件12衛(wèi)生經(jīng)濟(jì)分析與評價課件13衛(wèi)生經(jīng)濟(jì)分析與評價課件14衛(wèi)生經(jīng)濟(jì)分析與評價課件15衛(wèi)生經(jīng)濟(jì)分析與評價課件16衛(wèi)生經(jīng)濟(jì)分析與評價課件17衛(wèi)生經(jīng)濟(jì)分析與評價課件18衛(wèi)生經(jīng)濟(jì)分析與評價課件19衛(wèi)生經(jīng)濟(jì)分析與評價課件20衛(wèi)生經(jīng)濟(jì)分析與評價課件21衛(wèi)生經(jīng)濟(jì)分析與評價課件22衛(wèi)生經(jīng)濟(jì)分析與評價課件23衛(wèi)生經(jīng)濟(jì)分析與評價課件24衛(wèi)生經(jīng)濟(jì)分析與評價課件25衛(wèi)生經(jīng)濟(jì)分析與評價課件26衛(wèi)生經(jīng)濟(jì)分析與評價課件27衛(wèi)生經(jīng)濟(jì)分析與評價課件28衛(wèi)生經(jīng)濟(jì)分析與評價課件29衛(wèi)生經(jīng)濟(jì)分析與評價課件30衛(wèi)生經(jīng)濟(jì)分析與評價課件31衛(wèi)生經(jīng)濟(jì)分析與評價課件32衛(wèi)生經(jīng)濟(jì)分析與評價課件33衛(wèi)生經(jīng)濟(jì)分析與評價課件34衛(wèi)生經(jīng)濟(jì)分析與評價課件35衛(wèi)生經(jīng)濟(jì)分析與評價課件36衛(wèi)生經(jīng)濟(jì)分析與評價課件37衛(wèi)生經(jīng)濟(jì)分析與評價課件38衛(wèi)生經(jīng)濟(jì)分析與評價課件39衛(wèi)生經(jīng)濟(jì)分析與評價課件40衛(wèi)生經(jīng)濟(jì)分析與評價課件41衛(wèi)生經(jīng)濟(jì)分析與評價課件42衛(wèi)生經(jīng)濟(jì)分析與評價課件43衛(wèi)生經(jīng)濟(jì)分析與評價課件44衛(wèi)生經(jīng)濟(jì)分析與評價課件45衛(wèi)生經(jīng)濟(jì)分析與評價課件46衛(wèi)生經(jīng)濟(jì)分析與評價課件47衛(wèi)生經(jīng)濟(jì)分析與評價課件48衛(wèi)生經(jīng)濟(jì)分析與評價課件49衛(wèi)生經(jīng)濟(jì)分析與評價課件50衛(wèi)生經(jīng)濟(jì)分析與評價課件51衛(wèi)生經(jīng)濟(jì)分析與評價課件52衛(wèi)生經(jīng)濟(jì)分析與評價課件53衛(wèi)生經(jīng)濟(jì)分析與評價課件54衛(wèi)生經(jīng)濟(jì)分析與評價課件55衛(wèi)生經(jīng)濟(jì)分析與評價課件56衛(wèi)生經(jīng)濟(jì)分析與評價課件57衛(wèi)生經(jīng)濟(jì)分析與評價課件58衛(wèi)生經(jīng)濟(jì)分析與評價課件59衛(wèi)生經(jīng)濟(jì)分析與評價課件60衛(wèi)生經(jīng)濟(jì)分析與評價課件61衛(wèi)生經(jīng)濟(jì)分析與評價課件62衛(wèi)生經(jīng)濟(jì)分析與評價課件63衛(wèi)生經(jīng)濟(jì)分析與評價課件64衛(wèi)生經(jīng)濟(jì)分析與評價課件65衛(wèi)生經(jīng)濟(jì)分析與評價課件66衛(wèi)生經(jīng)濟(jì)分析與評價課件67衛(wèi)生經(jīng)濟(jì)分析與評價課件68衛(wèi)生經(jīng)濟(jì)分析與評價課件69衛(wèi)生經(jīng)濟(jì)分析與評價課件70衛(wèi)生經(jīng)濟(jì)分析與評價課件71衛(wèi)生經(jīng)濟(jì)分析與評價課件72衛(wèi)生經(jīng)濟(jì)分析與評價課件73衛(wèi)生經(jīng)濟(jì)分析與評價課件74衛(wèi)生經(jīng)濟(jì)分析與評價課件75衛(wèi)生經(jīng)濟(jì)分析與評價課件76衛(wèi)生經(jīng)濟(jì)分析與評價課件77衛(wèi)生經(jīng)濟(jì)分析與評價課件78衛(wèi)生經(jīng)濟(jì)分析與評價課件79衛(wèi)生經(jīng)濟(jì)分析與評價課件80衛(wèi)生經(jīng)濟(jì)分析與評價課件81衛(wèi)生經(jīng)濟(jì)分析與評價課件82衛(wèi)生經(jīng)濟(jì)分析與評價課件83衛(wèi)生經(jīng)濟(jì)分析與評價課件84衛(wèi)生經(jīng)濟(jì)學(xué)評價衛(wèi)生事業(yè)管理教研室衛(wèi)生經(jīng)濟(jì)學(xué)評價85問題1:十二指腸球部潰瘍治療方案的選擇≤制酸治療:sH2受體拮抗劑?≈質(zhì)子泵抑制劑?s抗Hp治療:≈質(zhì)子泵抑制劑+抗生素?鉍劑+抗生素?問題1:86衛(wèi)生經(jīng)濟(jì)分析與評價課件87問題3醫(yī)院有1000萬元錢購買一臺核磁共振機(jī)還銀行的貸款?問題388矛盾:衛(wèi)生資源是有限的醫(yī)療保健的需求無限衛(wèi)生經(jīng)濟(jì)學(xué)研究的目的以最合理有效的方式分配和利用有限的衛(wèi)生資源矛盾:89第一節(jié)衛(wèi)生經(jīng)濟(jì)學(xué)評價概述衛(wèi)生經(jīng)濟(jì)學(xué)評價的定義和目的衛(wèi)生經(jīng)濟(jì)學(xué)評價的定義:應(yīng)用一定的技術(shù)經(jīng)濟(jì)分析與評價方法將相關(guān)衛(wèi)生規(guī)劃或衛(wèi)生活動的投入和產(chǎn)出相聯(lián)系進(jìn)行比較評價。第一節(jié)衛(wèi)生經(jīng)濟(jì)學(xué)評價概述90二、衛(wèi)生經(jīng)濟(jì)學(xué)評價目的論證某衛(wèi)生規(guī)劃或衛(wèi)生活動實施方案的可行性;2.比較改善同一健康問題的各個方案;3.比較改善不同健康問題的各個方案;二、衛(wèi)生經(jīng)濟(jì)學(xué)評價目的91、衛(wèi)生經(jīng)濟(jì)學(xué)評價可以應(yīng)用的領(lǐng)域1.應(yīng)用于預(yù)防保健領(lǐng)域2.應(yīng)用于技術(shù)評估領(lǐng)域3.評價并比較疾病的各種治療方案,選擇最佳方案4.應(yīng)用于藥品研究領(lǐng)域,如藥品經(jīng)濟(jì)學(xué)5.評價并比較各項投資方案并作出決策、衛(wèi)生經(jīng)濟(jì)學(xué)評價可以應(yīng)用的領(lǐng)域92四、衛(wèi)生經(jīng)濟(jì)學(xué)評價的步驟、明確評價目的2.明確待評價的方案3.各個方案投入的測量(成本)4.每個方案產(chǎn)出的測量5.貼現(xiàn)6.敏感性分析7.投入產(chǎn)出分析定量評價8.確定方案,得出結(jié)論四、衛(wèi)生經(jīng)濟(jì)學(xué)評價的步驟93衛(wèi)生經(jīng)濟(jì)分析與評價的基本步驟確定方案的目的確定各種備選方案成本估計出的測量結(jié)果貨幣表示產(chǎn)出結(jié)果不用貨幣表示貼現(xiàn)靈敏度分析與效益比較成本與效果比較作出評價衛(wèi)生經(jīng)濟(jì)分析與評價的基本步驟94衛(wèi)生經(jīng)濟(jì)分析與評價課件95衛(wèi)生經(jīng)濟(jì)分析與評價課件96衛(wèi)生經(jīng)濟(jì)分析與評價課件97衛(wèi)生經(jīng)濟(jì)分析與評價課件98衛(wèi)生經(jīng)濟(jì)分析與評價課件99衛(wèi)生經(jīng)濟(jì)分析與評價課件100衛(wèi)生經(jīng)濟(jì)分析與評價課件101衛(wèi)生經(jīng)濟(jì)分析與評價課件102衛(wèi)生經(jīng)濟(jì)分析與評價課件103衛(wèi)生經(jīng)濟(jì)分析與評價課件104衛(wèi)生經(jīng)濟(jì)分析與評價課件105衛(wèi)生經(jīng)濟(jì)分析與評價課件106衛(wèi)生經(jīng)濟(jì)分析與評價課件107衛(wèi)生經(jīng)濟(jì)分析與評價課件108衛(wèi)生經(jīng)濟(jì)分析與評價課件109衛(wèi)生經(jīng)濟(jì)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