对马耳他退款流程复杂的相互依赖性进行SWOT分析
Katharina Abraham1,2,3, Margreet Franken1,2,3
1Institute for Medical Technology Assessment, Erasmus University Rotterdam, Rotterdam, the Netherlands.
在马耳他引入新药的错误流程危及公共卫生,金融可持续性和公平性. 利益相关者的责任转移和过程效率低下阻碍了医疗保健系统目标的最佳结果.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 卫生技术评估 卫生技术评估
- 公共卫生政策 公共卫生政策
背景情况:
- 新药评估框架的目标是公共卫生,金融可持续性和公平性.
- 运营流程的错误调整有可能实现这些系统目标.
研究的目的:
- 评估支持在马耳他公共卫生保健服务中引入新药的流程.
主要方法:
- 关于马耳他退款制度的文献综述.
- 使用Hutton框架与各种利益相关者进行半结构化采访.
- 使用优势,弱点,机遇和威胁 (SWOT) 分析进行数据分析.
主要成果:
- 大多数药物遵循政府表单清单;特殊的请求使用单独的路线.
- 在支持过程中的效率,质量和透明度方面存在重大缺陷.
- 利益相关者经常转移责任,影响后续流程并阻碍系统目标.
结论:
- 在马耳他,新药的引入受健康技术评估 (HTA) 工具之外的因素的影响.
- 拨款预算,政治影响,延迟和申请人知识影响公共卫生,公平和可持续性目标.
- 为了实现系统目标,HTA能力和利益相关者的问责是至关重要的.
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