潜在的に革新的な医療技術に関する価格決定要因と価格設定政策: スコーピングレビュー
Nicolas S H Xander1,2, Tom Belleman3,4, Maximilian Salcher-Konrad5,6
1Erasmus School of Health Policy & Management, Erasmus University Rotterdam, P.O. Box 1738, 3000 DR, Rotterdam, The Netherlands. xander@eshpm.eur.nl.
まとめ
政策立案者は革新的な医療技術の価格と 予算,アクセス,イノベーションのバランスをとるのに苦労します 医療機器と環境価格の知識のギャップは残っています
科学分野:
- 健康 経済
- 健康政策
- イノベーション管理
背景:
- 政策立案者は,潜在的に革新的な医療技術 (pIHTs) の価格設定で課題に直面しています.
- 医療予算のバランスと 患者へのアクセスと 革新のインセンティブのバランスは 極めて重要です
- PIHTの価格決定因子と政策に関する既存の証拠は,マッピングが必要です.
研究 の 目的:
- 価格決定因子に関する証拠をマップする.
- 欧州経済領域 (EEA) と経済協力開発機構 (OECD) の国々におけるpIHTの価格政策を特定する.
- これらの政策が患者へのアクセスと医療の持続可能性に与える影響を評価する.
主な方法:
- 科学文献と灰色の文献 (2014-2023) のスコーピングレビューを実施しました.
- 文献データベースや関係者組織からの記録が含まれています.
- 総合的なデータ収集のために,スノーボールと手動添加を使用しました.
主要な成果:
- 価格決定因子に関する15の詳細なステークホルダー意見が含まれており,価値ベースの要因が好まれている.
- EEA/OECDの価格政策は多様で,しばしば介入を組み合わせている.
- 外部価格参照 (EPR) は短期的な手頃な価格を提供しますが,不平等とアクセス問題を引き起こす可能性があります.
結論:
- 医療技術評価と関連した価値に基づく価格設定は,EPRよりもpIHTアクセスに優れている.
- 医療機器の価格設定,包括的な利害関係者の見解,およびpIHTの価格設定における環境問題に関する知識のギャップが存在します.
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