Healthcare perspectives from The Economist Intelligence Unit
Value-based healthcare in Taiwan: Towards a leadership role in Asia - Traditional Chinese
在臺灣,一種價值導向型的醫療策略正逐步引起重視。這是因為該地區的醫療體系面臨創新型治療方法所帶來的機遇和壓力,同時,慢性和傳染性疾病的負擔也在不斷加重。
二十多年的全民健康保險促進了臺灣醫療體系的發展,這有助於研究者獲取一套全面的數據。十多年來,醫療科技評估也在臺灣醫療系統的部分領域中得到了應用。
然而,人們雖然一直努力將成本效益和對於「價值」更廣泛的計量方法納入到對新的醫療措施的分析和決策中,但迄今為止還沒有做出任何努力來促成對「價值」這一概念的共同理解,或是對醫療保健在這一方面的標準評估方法的接受。
為了推動確立價值計量的有效方法,臺灣的任何舉措都需要著眼於對價值導向型醫療未來發展至關重要的幾個問題:國家醫療衛生決策機構如何解讀「價值」;參與決策過程的主要利益相關者有哪些,哪些人應該參與到相關決策中;以及在以價值為基礎的這一框架內,醫療保健的哪些方面可以被合理評估。此外,專家認為醫療體系將需要設法利用其醫療科技評估(health technology assessment, HTA)的能力來確定低價值領域,謹慎減少投資,以便為更具成本效益的支出釋放資源。這一過程將需要更多地整合使用HTA來完成包括醫療措施、設備、甚至整個照護路徑在內的多種評估工作。
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Cardiovascular diseases levy a substantial financial toll on individuals, their households and the public finances. These include the costs of hospital treatment, long-term disease management and recurring incidence of heart attacks and stroke. They also include the costs of functional impairment and knock-on costs as families may lose breadwinners or have to withdraw other family members from the workforce to care for a CVD patient. Governments also lose tax revenue due to early retirement and mortality, and can be forced to reallocate public finances from other budgets to maintain an accessible healthcare system in the face of rising costs.
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With more older women also working, how will the rising trend of breast cancer survivorship manifest in workplace policies, practices and culture? What challenges do breast cancer survivors face when trying to reintegrate into the workforce, or to continue working during treatment? How can governments, companies and society at large play a constructive role?
This series of reports looks at the situation for breast cancer survivors in Australia, New Zealand and South Korea. It finds that while progress has been made, more needs to be done, particularly in South Korea, where public stigma around cancer remains high.
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Cardiovascular diseases levy a substantial financial toll on individuals, their households and the public finances. These include the costs of hospital treatment, long-term disease management and recurring incidence of heart attacks and stroke. They also include the costs of functional impairment and knock-on costs as families may lose breadwinners or have to withdraw other family members from the workforce to care for a CVD patient. Governments also lose tax revenue due to early retirement and mortality, and can be forced to reallocate public finances from other budgets to maintain an accessible healthcare system in the face of rising costs.
As such, there is a need for more awareness of the ways in which people should actively work to reduce their CVD risk. There is also a need for more primary and secondary preventative support from health agencies, policymakers and nongovernmental groups.
To inform the decisions and strategies of these stakeholders, The Economist Intelligence Unit and EIU Healthcare, its healthcare subsidiary, have conducted a study of the prevalence and costs of the top four modifiable risk factors that contribute to CVDs across the Asian markets of China, Australia, Hong Kong, Japan, Singapore, South Korea, Taiwan and Thailand.
Download the report to learn more.