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専門医薬品のグループ1A医薬品の公共調達価格の変動:観察研究 (2013年-2022年)
Paula Rossignoli1, Roberto Pontarolo2, Fernando Fernandez-Llimos3
1Universidade Federal do Paraná, Programa de Pós-Graduação em Assistência Farmacêutica, Curitiba, PR, Brasil.
まとめ
パラナ州保健局は,ブラジル保健省の価格と比較して,グループ1Aの医薬品にBRL2億以上を支払った. 集中的な調達は ブラジルの国民保健システムの 費用対効果を向上させることができます
科学分野:
- 健康 経済
- 医薬品政策
- 公共衛生の調達
背景:
- ブラジル国立保健医療制度は 医薬品の調達コストを管理する上で 課題に直面しています
- 薬物の分散調達は 価格の変動と非効率性につながる可能性があります
研究 の 目的:
- ブラジル保健省とパラナ州保健省のグループ1A医薬品の取得価格を比較する.
- 州レベルの医薬品調達におけるコストの違いを定量化し,潜在的な過高価格を特定する.
主な方法:
- 2013年から2022年の薬物取得データを分析した遡及的観察研究.
- 2つの調達源の重量平均の取得価格の計算
- パラナが購入した医薬品の価格比率と総価格の分析
主要な成果:
- パラナの価格は84.6%の比較で保健省の価格を超えました.
- 州レベルでは47倍以上の価格でした.
- パラナ州は2億BRL以上の過剰支出を経験し,55.7%の過剰価格を代表しました.
結論:
- ブラジルでは 集中型連邦製薬と分散型州製薬の 価格格差が大きい.
- ブラジル国立保健システム内の費用対効果を高めるため,集中価格交渉と調達戦略を推奨しています.
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