对患者获取药物的挑战和潜在改善:心脏病学中的例子
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
概括
复杂的系统阻碍了患者获得新药. 标准化覆盖决策可以改善患者和临床医生的获取机会,
科学领域:
- 卫生政策
- 制药经济学
- 患者获得药物
背景情况:
- 美国监管机构批准后患者获得药品的准入涉及付款人,药房福利管理人员,分销商,制造商,卫生系统和药房的复杂网络.
- 最近批准的新疗法揭示了药物分销道的复杂性.
- 虽然利用管理策略旨在控制不断上升的医疗保健和药品支出,但它们往往缺乏透明度,并可能对弱势群体产生不成比例的影响.
研究的目的:
- 分析当前的医疗保险环境,并确定改善患者获得适当药物的机制.
- 在制药市场减少患者和临床医生的丧.
- 提出一个更有效,更公平的药物获取制度.
主要方法:
- 对现有的医疗保险和药品分销环境进行分析.
- 检查当前的利用管理实践及其影响.
- 制定过程改革的建议
主要成果:
- 目前的系统对患者的访问构成重大行政障碍.
- 在覆盖决策和利用管理方面普遍缺乏透明度.
- 弱势群体可能面临不成比例的接入挑战.
结论:
- 需要一个共享,标准化和透明的药物保险决策流程.
- 改革应优先考虑临床和成本效益的证据.
- 拟议的变化可以使患者受益,并提高制药系统的效率.
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