基于利益相关者的经验,对英格兰的管理访问协议进行了评估
Caroline Farmer1, Maxwell S Barnish1, Laura A Trigg1
1Peninsula Technology Assessment Group (PenTAG), Department of Public Health and Sport Sciences, University of Exeter Medical School, Exeter, UK.
英格兰的管理访问政策有助于解决创新医疗技术的不确定性,但实施挑战仍然存在. 利益相关者的意见对于改进未来的管理访问协议 (MAA) 是至关重要的.
科学领域:
- 卫生经济学 卫生经济学
- 卫生政策 卫生政策
- 制药管理 制药管理
背景情况:
- 管理访问政策是付款人用来解决创新医疗技术报销不确定性的策略.
- 该政策旨在促进患者更早地获得有希望但不确定的医疗创新.
研究的目的:
- 评估英格兰管理访问政策的实施情况.
- 收集涉及政策实施的各种利益相关者的见解.
主要方法:
- 在英格兰开展了七个焦点小组,包括付款人,医疗技术评估机构,临床医生,行业和患者/护理人员组织的代表.
- 利用框架分析来解释焦点小组的成绩单,并确定利益相关者的观点,管理访问政策的成功和挑战.
主要成果:
- 利益相关者在管理访问政策中确定了相互竞争的目标,影响了决策.
- 同意,由于新技术的变化,管理访问协议 (MAA) 的严格资格标准难以实施.
- 突出实施挑战,包括证据生成,患者支持和与行业的合同协议.
结论:
- 管理访问可以解决不确定性,并提供更早的患者获得创新技术.
- 管理访问不是通用的解决方案;需要明确其目标和优先级.
- 关于MAA实施的经验应该为未来的政策制定提供信息.
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