卫生经济学评估中性价比和预算影响分析的作用机制再思考

Reconsideration on the Mechanism of Effect of Cost-effectiveness Analysis and Budget Impact Analysis in Health Economics Assessment

经济学评估中的性价比分析是在评判边际上资源投入的产出效率是否可接受,在不存在局部预算约束的情况下,通过性价比结果与阈值的比较即可进行决策。但在有局部约束下,就需要对性价比结果进行排序,在不突破预算空间的前提下选择性价比最优者。前一种情况的资源配置效率高于后者,但后者却是现实中普遍的决策机制。卫生经济学评估技术的合理应用可以更好的支持卫生决策。

The cost-benefi t analysis in the economic evaluation is to judge whether the output effi ciency of the resource input on the margin is acceptable. In the absence of local budgetary constraints, the decision can be made by comparing the price performance results with the thresholds. However, under local constraints, it is necessary to rank the cost performance results, and select the best performance under the premise of not breaking budget space. In the former case, the effi ciency of resource allocation is higher than in the latter, but the latter is a universal decision-making mechanism in reality. The rational application of health economics assessment technology can better support health decision-making.