与其他国家相比,波兰的退款决策系统系统地比较
Aneta Mela1, Elżbieta Rdzanek1, Janusz Jaroszyński2
1Department of Experimental and Clinical Pharmacology, Centre for Preclinical Research and Technology (CePT), Medical University of Warsaw, Warsaw, Poland.
Frontiers in pharmacology
|October 30, 2023
概括
报销系统在全球范围内各不相同,大多数都需要在营销批准之前申请. 协调医疗技术评估 (HTA) 和成本效益门对于一致的药物报销决定至关重要.
科学领域:
- 卫生经济学 卫生经济学
- 卫生政策 卫生政策
- 制药政策 制药政策
背景情况:
- 报销系统对于患者获取药品至关重要.
- 这些系统的国际比较对于政策制定至关重要.
研究的目的:
- 系统地分析和比较波兰和其他选定的国家的药品报销系统.
- 确定HTA和退款决策的共同点,差异和改进领域.
主要方法:
- 根据AHTAPol的建议对补偿系统进行比较分析.
- 在PubMed,Embase,Cochrane图书馆和灰色文学中进行系统的文献搜索.
- 包括13个国家:波兰,英格兰,苏格兰,威尔士,爱尔兰,法国,荷兰,德国,挪威,瑞典,加拿大,澳大利亚和新西兰.
主要成果:
- 大多数国家在获得营销许可之前就开始申请退款.
- 机构是独立的,其中一些具有监管决策功能.
- 成本效益门是关键的差异化因素;许多系统都有昂贵的特种药物的机制.
- 在HTA流程中的不一致性导致不同的决策.
结论:
- 了解报销系统,HTA,利益相关方参与和报销决策之间的相互作用至关重要.
- 协调HTA标准和成本效益值可以提高一致性.
- 国际合作可以为药品报销提供最佳实践信息.
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