薬剤への患者アクセスの課題と改善の可能性:心臓病学の例
Mitchell A Psotka1, Mona Fiuzat2, Scott D Solomon3
1Inova Heart & Vascular Institute, Falls Church, VA (M.A.P., S.S.S., C.M.O.).
Circulation
|August 25, 2020
まとめ
複雑なシステムによって 患者の新薬へのアクセスが妨げられています 医療保険の決定を標準化することで 患者と臨床医のアクセスが改善され 挫折感が軽減できます
科学分野:
- 健康政策
- 製薬経済学
- 患者の薬へのアクセス
背景:
- 患者の薬へのアクセスは,米国の規制当局の承認後,支払者,薬局の利益管理者,配布者,製造者,保健システム,薬局の複雑なネットワークを含んでいます.
- 最近の新しい治療法の承認は 薬の配給チャネルの複雑さを明らかにしています
- 利用管理戦略は 医療費と医薬品支出の増大を抑制することを目的としているが 透明性が欠けていて 脆弱な集団に不釣り合いの影響を及ぼします
研究 の 目的:
- 医療保険の現状を分析し,適切な医薬品への患者のアクセスを改善するメカニズムを特定する.
- 薬剤市場における患者と臨床医の不満を減らすために
- より効率的で公平な医療アクセス制度を提案する
主な方法:
- 既存の健康保険と医薬品の流通状況の分析
- 現在の利用管理方法とその影響の検討
- プロセス改革のための勧告の策定
主要な成果:
- 現在のシステムは 患者のアクセスに重大な管理上の障壁を 抱えています
- 覆盖決定と利用管理の透明性が欠けている.
- 脆弱な集団は不均衡なアクセスに 直面するかもしれません
結論:
- 医療保険の決定には 共有され 標準化され 透明性の高いプロセスが必要です
- 改革は臨床的証拠と費用対効果を優先すべきです
- 提案された変更は患者にとって有益で 製薬システムの効率を高めます
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