专题:中医临床研究的范式与应用

卫生经济学评价在针灸国际化推广路径上的重要价值

  • 曾典 ,
  • 郭然 ,
  • 刘远立 ,
  • 何丽云 ,
  • 刘保延
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  • 1. 中国中医科学院广安门医院, 北京 100700;
    2. 北京协和医学院卫生健康管理政策学院, 北京 100010
曾典,博士研究生,研究方向为中医临床研究方法及卫生经济学,电子信箱:dd6633@126.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:liuby5505@139.com

收稿日期: 2024-05-18

  修回日期: 2024-08-02

  网络出版日期: 2024-12-14

Exploring the significant value of health economics evaluations acupuncture for international promotion

  • ZENG Dian ,
  • GUO Ran ,
  • LIU Yuanli ,
  • HE Liyun ,
  • LIU Baoyan
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  • 1. Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing 100700, China;
    2. School of Health Policy and Management, Peking Union of Medical College, Beijing 100010, China

Received date: 2024-05-18

  Revised date: 2024-08-02

  Online published: 2024-12-14

摘要

当卫生经济学方法已被全球广泛用于临床指南制定、卫生政策调整依据时,针灸的“简、便、易、廉”优势亟需通过卫生经济学评估方法来科学验证。总结了现有的针灸卫生经济学评估的进展、特点,分析了目前针灸卫生经济学存在的挑战,包括针灸临床研究的长期随访下的随机对照研究数据和真实世界数据少、相关的生存质量评估少、费用在不同国家地区的差异性较大等原因,导致针灸卫生经济学评估的同质性较低、相关研究发表较少等情况。建议进一步提高针灸卫生经济学的指南制定、规范研究方法,加强相关学科建设及培训工作,通过挖掘针灸的成本效果价值,增强其在全球健康领域的吸引力和接受度,为针灸的国际推广和融入主流医疗体系提供有力支持。

本文引用格式

曾典 , 郭然 , 刘远立 , 何丽云 , 刘保延 . 卫生经济学评价在针灸国际化推广路径上的重要价值[J]. 科技导报, 2024 , 42(21) : 170 -179 . DOI: 10.3981/j.issn.1000-7857.2024.05.00461

Abstract

As health economics methods have been widely adopted for developing clinical guidelines and adjusting health policies in the word, the advantages of acupuncture—being simple, convenient, effective, and affordable—urgently need scientific validations through health economics evaluation methods.This paper reviews published health economics articles on acupuncture and summarizes the progress and characteristics of current evaluations in this field.It also analyzes the reasons for low homogeneity and limited number of studies in acupuncture health economics evaluations.These reasons include the scarcity of long-term follow-up data from randomized controlled trials (RCTs) and real-world data in acupuncture clinical research, limited assessments of quality of life, and significant cost differences across countries and regions.The paper suggests further efforts to improve the development of acupuncture health economics guidelines, standardize research methods, and strengthen construction and training in related disciplines.By exploring the cost-effectiveness of acupuncture, its attractiveness and acceptance in the global health field can be enhanced, so as to provide strong support for the international promotion of acupuncture and its integration into mainstream medical systems.

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