发展中国家的外部参考定价是如何工作的:来自伊朗的证据.
Fatemeh Babaie1, Mohammad Hossein Motevalli1, Gholamhossein Mehralian2
1Department of Pharmacoeconomics and Pharma Management, School of Pharmacy, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Frontiers in pharmacology
|July 6, 2023
概括
外部参考定价 (ERP) 是一种广泛使用的药品定价政策. 虽然在短期内有效,但ERP本身并不完美,无法确保公平的药品价格,建议补充方法可以改善患者的获取.
科学领域:
- 卫生经济学 卫生经济学
- 制药政策 制药政策
- 药品定价 药品定价 药品定价
背景情况:
- 政府利用多种不同的定价策略来确保药物的可访问性,可用性和负担能力.
- 外部参考定价 (ERP) 是一个常见的,在许多国家很容易实施的政策.
- ERP的路径依赖性既有优点,也有缺点,使影响评估复杂化.
研究的目的:
- 评估外部参考定价 (ERP) 作为伊朗药品定价工具的表现.
- 分析不同参考国家选择对ERP结果的影响.
- 将伊朗的药品价格与社会经济上相似的参考国家的药品价格进行比较.
主要方法:
- 进行了一项横截面描述性研究.
- 伊朗的官方参考国家篮子被补充为社会经济可比性和数据访问选择的国家.
- 经验分析比较了伊朗与这些参考国家的选择药物的价格.
主要成果:
- 分析了57种药物的价格 (占伊朗进口药品市场价值的69.2%).
- 49.1%的药品在至少一个参考国家价格较高.
- 21%的产品在伊朗的平均价格高于参考国家的平均价格.
结论:
- 外部参考定价 (ERP) 为制药定价挑战提供了一个可行的短期解决方案.
- ERP不是一个完美的独立定价工具;它的有效性是可以接受的,但可以提高.
- 将ERP与其他方法相结合,例如基于价值的定价,可以改善伊朗患者获得药物的机会.
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