高新卫生技术的迅速发展以及卫生保健系统可利用资源的有限性不可避免地要确定优先或定量配置卫生技术。 1 995年颁布的《以色列国家健康保险法》规定了一份基本卫生服务目录 ,卫生服务由公共基金向全体居民提供。尽管一些参数显示 ,比如长的期望寿命、低的婴儿死亡率 ,以色列的卫生保健系统在医疗保健方面已经达到了很高的标准 ,但是对高新技术的社会和专业需求却一直在增长。直到1 999年财政年度 ,卫生部医疗技术管理中心才推荐了一份新的技术清单增加到卫生服务目录中去。当年财政拨付 350 0万美元用于此用途 ,然而粗略估算则发现将这些重要的新技术加入卫生服务目录所需费用超过了 3.5亿美元。医疗技术管理中心采用了一种系统的卫生技术评估方法——设立 AD- HOC小组评价新技术的临床安全性、效能和效果 ,并进行需要评估和成本 -效果描述。资料的评价是基于循证医学方法。设立了一套标准用以确定所评估新技术中的优先。经过这一程度形成了推荐纳入卫生服务目录的技术清单。卫生部任命一个公共委员会来决定哪些技术要纳入卫生服务目录中 ,该委员会由来自政府、疾病基金和公众的代表组成。委员会根据递交的上述分析和预定的标准 ,综合考虑临床、经济、社会、伦理和法律方面的因素 ,对每项技术进行评估 The rapid development of hi-tech health technologies and the limited availability of resources for health care systems inevitably determine the prioritization or quantitative allocation of health technologies. The Israel National Health Insurance Law, promulgated in 995, stipulated a list of basic health services. Health services were provided to all residents by public funds. Despite some parameters such as long life expectancy and low infant mortality, Israel’s health care system has reached a high standard in health care, but the social and professional needs for high technology have been increasing. It was not until the financial year of 1999 that the Medical Technology Management Center of the Ministry of Health recommended a new technology list to be added to the list of health services. The fiscal year allocated $3.5 million for this purpose, but a rough estimate found that the cost of adding these important new technologies to the health service catalog exceeded $350 million. The Medical Technology Management Center has adopted a systematic approach to health technology assessment – ​​setting up an AD-HOC team to evaluate the clinical safety, efficacy, and effectiveness of new technologies, and to conduct needs assessments and cost-effectiveness descriptions. Data evaluation is based on evidence-based medicine. A set of standards was established to determine the priorities of the new technologies being evaluated. To this extent, a list of technologies recommended for inclusion in the health service catalog was formed. The Ministry of Health appoints a public committee to determine which technologies are to be included in the health services directory, which consists of representatives from the government, the sickness fund and the public. The committee evaluates each technology based on the above analysis and predetermined criteria, taking into consideration clinical, economic, social, ethical and legal considerations.