加拿大规划疫苗准入的经济性评价制度分析及启示

Analysis and enlightenment of economic evaluation system of vaccine inclusion into national immunization programs in Canada

目的:为完善我国规划疫苗准入评估制度提供借鉴。方法:介绍加拿大规划疫苗准入评估的制度概况,深入分析其经济性评价的材料和流程,对比我国规划疫苗准入评估现状,提出政策建议。结果:加拿大规划疫苗准入评估具有明确的触发机制和评价框架,流程和相关工作主体的职责规定全面,对我国具有一定的参考价值。结论:建议我国建立健全规划疫苗评估的触发机制和价值框架,根据决策需求灵活选择评价维度;基于国情完善规划疫苗准入经济性评价的组织形式,细化经济性评价流程、工作内容和方法;制定并发布疫苗经济性评价的相关指南、模板和案例。

Objective:To provide reference for evaluation system of vaccine Inclusion of National Immunization Programs(NIP)in China.Methods:Startingwithan introduction to the general situation of Canada s economic evaluation system of vaccines in NIP,the paper makes proposals to policy-making after a comparison to current situation in the relevant field after a thorough analysis of tools and and processes of economic evaluation in Canada..Results:The evaluation of vaccines inclusion of NIP in Canada has a clear trigger mechanism and evaluation framework,and the subjects involved in the procedures and their responsibilities are comprehensive,which provides certain reference to China.Conclusion:It is suggested that China establish and improve relevant trigger mechanism and evaluation framework of vaccine in NIP,and flexibly select dimensions of evaluation according to decision-making needs;Improve the organization of economic evaluation of candidate NIP vaccine based on national conditions,and refine its economic evaluation process,content and methods of work;Formulate and publish guidelines,templates and cases related to vaccine economic evaluation.