外部参考定价对药品成本和市场动态的影响
Dominic Voehler1, Benjamin C Koethe2, Patricia G Synnott1
1Center for the Evaluation of Value and Risk in Health, Institute for Clinical Research and Health Policy Studies, Tufts Medical Center, 800 Washington St. #063, Boston, MA 02111, USA.
Health policy OPEN
|June 29, 2023
概括
外部参考定价 (ERP) 可能会将新药推出推迟73%,并且不会影响推出价格. 这些发现质疑ERP政策在美国管理处方药费用的有用性.
科学领域:
- 卫生经济学 卫生经济学
- 制药政策 制药政策
背景情况:
- 美国处方药成本上升引起了对外部参考定价 (ERP) 的兴趣.
- 欧洲药物管理计划将药物价格与其他国家的药物价格联系起来.
研究的目的:
- 检查ERP对药物推出时间,推出价格和价格变化的影响.
- 专注于100种与医疗保险和医疗补助相关的高价药物.
主要方法:
- 利用了来自Pricentric ONETM国际药物定价数据库的数据.
- 分析了产品发布时间,发布价格和2010年1月至2021年10月的价格变化.
- 在ERP与非ERP环境中比较药物定价和推出数据.
主要成果:
- 在监管部门批准后9个月内,ERP政策与药物推出的可能性减少了73%.
- 虽然ERP在药物价格的年度变化中显示了统计学上显著的降低,但没有影响到推出价格.
- 没有特定的ERP特征 (例如,国家数量,计算方法) 与结果有显著联系.
结论:
- ERP政策似乎没有影响最初的药物推出价格.
- ERP可能会推迟患者获得新疗法,引发人们对其有效性和潜在的国际后果的担忧.
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