vitjВрач и информационные технологииMedical Doctor and Information Technologies1811-01932413-5208Pirogov National Medical and Surgical Center10.25881/18110193_2024_2_12vitj-47Research ArticleОБЗОРЫREVIEWSИнформационные ресурсы для методологической и инструментальной поддержки исследований, посвященных оценке экономической эффективности проектов здравоохраненияInformation resources for methodological and instrumental support of research aimed at the assessment of healthcare economic efficiency projectsКарминаР. Л.KarminaR. L.r.karmina@yandex.ruКаневА. Ф.KanevA. F.alexkanev92@gmail.comКураковаН. Г.KurakovaN. G.

д.б.н.

DSc

idmz@mednet.ruКобяковаО. С.KobyakovaO. S.

д.м.н.

DSc

kobyakovaos@mednet.ruОбуховаО. В.ObukhovaO. V.

к.полит.н.

PhD

obuhova@mednet.ruКадыровФ. Н.KadyrovF. N.

д.э.н.

DSc

kadyrov@mednet.ruФГБУ «ЦНИИОИЗ» Минздрава РоссииРоссияRussian Research Institute of Health, Ministry of Health of the Russian FederationRussian Federation202402082024021229Copyright © Кармина Р.Л., Канев А.Ф., Куракова Н.Г., Кобякова О.С., Обухова О.В., Кадыров Ф.Н., 20242024Кармина Р.Л., Канев А.Ф., Куракова Н.Г., Кобякова О.С., Обухова О.В., Кадыров Ф.Н.Karmina R.L., Kanev A.F., Kurakova N.G., Kobyakova O.S., Obukhova O.V., Kadyrov F.N.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.vit-j.ru/jour/article/view/47

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

Experts predict global health spending to reach $16.9 trillion by 2050. However, 20% to 40% of all resources invested could be lost due to various forms of project inefficiency. An analysis of the content of three key information resources offering methodological and instrumental support for research aimed at the assessment of the cost-effectiveness of projects implemented in national health care systems was carried out. The resources analyzed were the following: World Health Organization's Choosing Interventions that are Cost-Effective (WHO CHOICE), Guide to economic analysis and research (GEAR) and Disease control priorities (DCP).Each of the information resources provides unique, non-duplicate content that provides decisions making support based on data from assessment of the cost-effectiveness of projects and activities in the healthcare system. WHO-CHOICE uses a “generalized” approach to cost-effectiveness analysis, a standardized methodology that helps measuring the impact of health interventions and identifying priorities for further development. An interactive tool OneHealth, developed based on WHO-CHOICE, provides the ability to simulate a wide range of scenarios, strategies and their combinations. GEAR provides methodological support for cost-effectiveness assessment algorithms, including smart maps for decision-making, a database of practical guidelines and the opportunity to get an expert advice. The DCP provides access to an organized online collection of publications and generates a periodic review of the most relevant evidence on cost-effective interventions to address the burden of disease in the setting of scarce resourcesIt is concluded that the reviewed information resources effectively summarize international practices in analyzing the costeffectiveness of healthcare projects while still having a number of limitations for use in domestic research. The need to create our own accessible and regularly updated interactive tools for the economic assessment of medical interventions is substantiated, taking into account the national and regional characteristics of the functioning of the Russian Federation healthcare system.

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The authors declare that there are no conflicts of interest present.