加拿大儿童医院的高成本药物政策:一项探索性研究
Aidan Pucchio1, Michael Rieder2
1School of Medicine (AP), Queen's University, Kingston, Ontario, Canada.
概括
加拿大儿科药物资金不一致和不足,造成了丧. 迫切需要改变政策,以改善加拿大各地儿童获得高成本药物的机会.
科学领域:
- 卫生政策 卫生政策
- 儿科药理学 儿科药理学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 针对儿童的有效但昂贵的药物存在独特的伦理和后勤挑战.
- 加拿大各地对儿科药物的公共政策和资金覆盖范围不一致.
- 这种变化影响了儿科患者获得必要的高成本药物的可用性.
研究的目的:
- 调查目前为高成本儿科药物提供资金的流程.
- 探索加拿大儿童医院内儿科药物资金方面的挑战和不一致性.
主要方法:
- 一个横截面的,基于文本的调查分发给加拿大儿科科的19个椅子.
- 采用主题定性分析来分析字面回复和后续通信.
- 实现了100%的响应率,提供了有关儿科药物资金的全面数据.
主要成果:
- 关于儿科高成本药物政策,出现了三个主要主题:不一致的资金流程,可变的资金来源和普遍的挫折感.
- 受访者报告说,目前的融资机制是异质的,不足以满足患者的需求.
- 鉴于高成本儿科药物获取现有选择的不足,存在重大关切.
结论:
- 有共识,目前的儿科高成本药物资金不足,需要紧急的政策改革.
- 政策变化至关重要,以确保加拿大儿童持续和更好地获得高成本药物.
- 提出的解决方案包括一个国家资金框架,在药物开发中加强儿科考虑,以及关于儿科治疗的峰会.
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