利益相关者对韩国数字治疗药品报销的看法:定性研究
Boram Sim1, Jin Han Ju1, Byungsoo Kim2
1HIRA Research Institute, Health Insurance Review and Assessment Service (HIRA), Wonju-Si, Republic of Korea.
JMIR mHealth and uHealth
|November 7, 2023
概括
数字疗法 (DTx) 是有前途的,但韩国利益相关者需要就补偿途径达成共识. 进一步的研究和多样化的资金对于DTx的采用和市场稳定至关重要.
科学领域:
- 数字健康数字健康
- 卫生政策 卫生政策
- 医疗技术 医疗技术 医学技术
背景情况:
- 数字疗法 (DTx) 是软件驱动的患者自我管理干预措施.
- 由于对DTx的有效性,效率和安全性的证据有限,人们对DTx日益增长的兴趣持谨慎态度.
- 国家医疗保险 (NHI) 基金对DTx的补偿是不确定的,需要公开讨论.
研究的目的:
- 检查利益相关者对DTx的认识和态度.
- 评估对DTx采用的监管和报销途径的看法.
- 了解韩国DTx的NHI基金退款可行性.
主要方法:
- 与韩国11个不同的利益相关者进行了深入的半结构化访谈.
- 有目的的抽样包括DTx和NHI政策的专家.
- 使用基于面试指南的定向内容分析进行定性数据分析.
主要成果:
- 消费者对DTx不太熟悉,但所有利益相关者都表现出积极的态度和接受.
- 利益相关者同意DTx是有价值的,但不同意进入市场和退款途径.
- 由于缺乏足够的临床证据,人们倾向于对NHI偿还采取保守的方法.
结论:
- 韩国利益相关者对DTx持积极态度,但缺乏关于退款的共识,阻碍了NHI的快速采用.
- 国民健康基金的保守性质不足以快速实施DTx.
- 建议采用基于税收的融资,创新基金和试点研究等替代性报销策略,以产生证据并稳定DTx市场.
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