По прогнозам экспертов, к 2050 г. расходы на глобальное здравоохранение достигнут 16,9 трлн долларов, однако от 20% до 40% всех инвестиционных ресурсов могут быть потеряны из-за различных форм неэффективности реализуемых проектов. Выполнен анализ контента трех ключевых информационных ресурсов, предлагающих методологическую и инструментальную поддержку исследованиям, посвященным оценке экономической эффективности проектов, внедряемых в национальные системы здравоохранения: World Health Organization’s Choosing Interventions that are Cost-Effective (WHO CHOICE), Guide to economic analysis and research (GEAR) и Disease control priorities (DCP).
Каждый из рассмотренных информационных ресурсов предоставляет уникальный, не дублирующий, но подлежащий гармонизации контент, обеспечивающий поддержку принимаемых решений на основании данных оценок экономической эффективности проектов и мероприятий в системе здравоохранения. WHO-CHOICE использует «генерализованный» подход к анализу экономической эффективности, стандартизированную методологию, способствующую как соизмерению результатов мероприятий в сфере здравоохранения, так и определению приоритетов для дальнейшего развития. На её основе создан интерактивный инструмент OneHealth, предоставляющий возможность моделировать широкий спектр сценариев, стратегий и их комбинаций. GEAR обеспечивает средствами методологической поддержки алгоритмы оценки экономической эффективности, включающими интеллектуальные карты для принятия решений, базу практических рекомендаций и возможность получить консультацию эксперта. DCP предоставляет доступ к систематизированной онлайн-коллекции публикаций и формирует периодический обзор наиболее актуальных фактических данных о затратоэффективных вмешательствах для решения проблемы бремени болезней в условиях нехватки ресурсов.
Делается вывод, что рассматриваемые информационные ресурсы результативно обобщают существующие международные практики анализа экономической эффективности проектов в области здравоохранения, однако имеют целый ряд ограничений для использования в отечественных исследованиях. Обоснована необходимость создания собственных доступных и регулярно обновляемых интерактивных инструментов экономической оценки медицинских вмешательств с учетом национальных и региональных особенностей функционирования системы здравоохранения Российской Федерации.
Каждый из рассмотренных информационных ресурсов предоставляет уникальный, не дублирующий, но подлежащий гармонизации контент, обеспечивающий поддержку принимаемых решений на основании данных оценок экономической эффективности проектов и мероприятий в системе здравоохранения. WHO-CHOICE использует «генерализованный» подход к анализу экономической эффективности, стандартизированную методологию, способствующую как соизмерению результатов мероприятий в сфере здравоохранения, так и определению приоритетов для дальнейшего развития. На её основе создан интерактивный инструмент OneHealth, предоставляющий возможность моделировать широкий спектр сценариев, стратегий и их комбинаций. GEAR обеспечивает средствами методологической поддержки алгоритмы оценки экономической эффективности, включающими интеллектуальные карты для принятия решений, базу практических рекомендаций и возможность получить консультацию эксперта. DCP предоставляет доступ к систематизированной онлайн-коллекции публикаций и формирует периодический обзор наиболее актуальных фактических данных о затратоэффективных вмешательствах для решения проблемы бремени болезней в условиях нехватки ресурсов.
Делается вывод, что рассматриваемые информационные ресурсы результативно обобщают существующие международные практики анализа экономической эффективности проектов в области здравоохранения, однако имеют целый ряд ограничений для использования в отечественных исследованиях. Обоснована необходимость создания собственных доступных и регулярно обновляемых интерактивных инструментов экономической оценки медицинских вмешательств с учетом национальных и региональных особенностей функционирования системы здравоохранения Российской Федерации.
Литература
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Для цитирования
Кармина Р.Л., Канев А.Ф., Куракова Н.Г., Кобякова О.С., Обухова О.В., Кадыров Ф.Н. Информационные ресурсы для методологической и инструментальной поддержки исследований, посвященных оценке экономической эффективности проектов здравоохранения. Врач и информационные технологии. 2024; 2: 12-29. doi: 10.25881/18110193_2024_2_12.
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