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科技导报
| 专题:中医真实世界临床研究 2023, 41(14): 14-21
价值医疗视角下的中医药优势评价思路与方法
全屏
郭然1 ,曾典2 ,胡裕涵1 ,刘远立1* ,刘保延2*
作者信息
1. 北京协和医学院卫生健康管理政策学院,北京 100010
2. 中国中医科学院,北京 100700
通讯作者:
刘远立(通信作者),教授,研究方向为卫生政策,电子信箱:liuyuanli_pumc@163.com;刘保延(通信作者),首席研究员,研究方向为中医临床评价方法,电子信箱:liuby@139.com
Evaluation of the advantage of Traditional Chinese Medicine from the perspective of value-based healthcare
Affiliations
出版时间: 2023-07-28
doi: 10.3981/j.issn.1000-7857.2023.14.002
文章导航
受近代西方科学的冲击与影响,中医药的优势评价和价值论证仍处在探索阶段,尚缺乏体现中医药特点的系统评价体系和现代评价手段。借鉴当前国际上在综合评价医疗保健绩效时所广泛使用的“价值医疗”理论和评价框架,提出将“价值”作为中医药优势评价的核心指标,并将其测量和评价分为疗效(包括生存状态、恢复情况和疗效巩固3个层次)、成本、患者体验和依从性3个方面来反映中医药优势评价的多维性,通过脑卒中和肺癌2类中医药优势病症的现有研究论证了价值医疗理论框架对于中医药优势评价的适配性,为中医药优势的综合评价和证据的系统整合提供与国际接轨的框架与思路。
价值医疗
/
中医药
/
优势评价
/
疗效与成本
/
患者体验与依从性
The purpose of this study is to fill the gaps in the scientific and systematic evaluation of the advantages of Traditional Chinese Medicine (TCM) by modern evaluation methods. In recent years, "Value-based healthcare" is a theoretical framework widely used in the comprehensive evaluation of healthcare performance. It advocates patients-centered integrated practice units, emphasizes cost-effective medical services, and pays attention to clinical indicators, functional status and rehabilitation of patients in the outcome measurement, which is consistent with the characteristics of TCM "people-oriented, from the function of the human body to grasp and regulate the life activities of the human body". Therefore, the evaluation method based on value-based healthcare has reference significance for the evaluation of TCM. Based on the theory and evaluation framework of value-based healthcare, this study proposes to take "value" as the core index of TCM advantage evaluation, and divides its measurement and evaluation into three aspects, namely efficacy, cost, patient experience and compliance, to reflect the multi-dimension of TCM advantage evaluation. The applicability of the theoretical framework of value medicine to the evaluation of the advantages of TCM was demonstrated through the existing studies on stroke and lung cancer, thus providing an international framework and ideas for the comprehensive evaluation of the advantages of TCM and the systematic integration of literature.
value-based healthcare
/
Traditional Chinese Medicine
/
advantage evaluation
/
efficacy and cost
/
patient experience and compliance
郭然,曾典,胡裕涵,刘远立,刘保延.
价值医疗视角下的中医药优势评价思路与方法.
科技导报,
2023
, 41
(14)
: 14
-21
.
DOI: 10.3981/j.issn.1000-7857.2023.14.002
GUO Ran, ZENG Dian,HU Yuhan, LIU Yuanli, LIU Baoyan.
Evaluation of the advantage of Traditional Chinese Medicine from the perspective of value-based healthcare[J].
Science & Technology Review ,
2023
, 41
(14)
: 14
-21
.
DOI: 10.3981/j.issn.1000-7857.2023.14.002
2023年第41卷第14期
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BibTeX
文章信息
doi: 10.3981/j.issn.1000-7857.2023.14.002
接收时间:2023-04-01
首发时间:2023-08-15
出版时间:2023-07-28
收稿日期:2023-04-01
修回日期:2023-05-12
通讯作者:
刘远立(通信作者),教授,研究方向为卫生政策,电子信箱:liuyuanli_pumc@163.com;刘保延(通信作者),首席研究员,研究方向为中医临床评价方法,电子信箱:liuby@139.com
https://castjournals.cast.org.cn/joweb/kjdb/CN/10.3981/j.issn.1000-7857.2023.14.002
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2种不同金属材料的力学参数
科 Family 属数 Number of genus 种数 Number of species 占总种数比例 Percentage of total species (%) 属 Genus 种数 Number of species 占总种数比例 Percentage of total species (%) 鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78 小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39 多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39 红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87 小菇属 Mycena 11 5.26 光柄菇属 Pluteus 5 2.39 红菇属 Russula 17 8.13 栓菌属 Trametes 5 2.39
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