Hospital-based health technology assessment (HB-HTA) is an indispensable method and measure to improve the level of fine management and establish a value-based medical service system. This paper introduces the differences between HB-HTA and HTA, four organizational management models, assessment process, assessment steps and HB-HTA reporting standardization, which provides a reference for evaluating organizations.
ObjectivesIn order to provide baseline data for the establishment of urban health indicator system in China and other cities, the indicators, characteristics and problems of 24 urban health indicator systems in China were researched.MethodsCNKI, Wan Fang Data, VIP, as well as China’s all provinces and cities’ websites of government and family planning commission and patriotic health campaign commission were searched to collect literatures and government documents on " Healthy city” and its index system. They were then been extracted, classified and summarized.ResultsThe final search involved 24 healthy city indicators system in China, including 1 531 indicators and 14 dimensions, 5 operations and 8 special operations. Seven dimensions (health, health services, environmental health, social indicators, indicators of policy, indicator of health promoting) were widely used. 38 indicators were used above five times, while 441 indicators were used merely once.ConclusionsThe structure of urban health indicator systems in China are almost consistent with WHO’s. They all have the characteristics of diversity, characteristic, national policy, civilian etc. However, there still exists problems with indicators of quantity, definition, classification and lack of indicators on mental health, children health, pregnant woman health as well as elderly health. It is urgent to develop the principles, methods, processes and standards for urban health indicators.
ObjectivesTo compare and analyze the differences between local and the national indicator systems, so as to provide reference for the improvement of health city indicator system in various regions and the implementation of national health city evaluation.MethodsWe performed electronic searches of the CNKI, WanFang Data, VIP, website of WHO, website of Commission of Health &Family Planning prior to March, 2018. We included documents of Chinese healthy city indicator system. Literature selection and data extraction were performed by two reviewers independently, and the included indicator systems were systematic reviewed.ResultsA total of 26 documents were included, involving 14 dimensions and 1 531 indicators. Health (population/level) dimension was used by 24 healthy city indicators systems and included 82 indicators. Health services dimension had been used by 22 healthy city indicators systems and including 113 indicators. Health environments dimension was used by 22 healthy city indicators systems and included 121 indicators. Health society was used by 19 systems and included 113 indicators. Health culture dimension had been used by 4 systems and included 17 indicators. The specific indicators in the two dimensions of health environment and health population were relatively consistent with the national indicator system, while the dimensions of health society, health service and health culture were highly different.ConclusionsHealth (population/level), health services, healthy environment, and healthy society are most used in each healthy city indicator system. Compared with the national indicator system, the dimension structure is highly consistent, while the formulation of specific indicators and the ownership of dimensions are quite different. Each city should improve its existing indicator system based on its own urban development status and problems.