全加拿大分层定价框架和中国国家基于数量的采购:使用Donabedian的结构-流程-结果框架进行比较研究
Quan Wang1,2, Siqi Liu3,4, Zhijie Nie1
1School of Public Health, Peking University, Beijing, China.
Journal of global health
|November 10, 2023
概括
加拿大的分级定价框架 (TPF) 和中国的国家量级采购 (NVBP) 均实现了53%的仿制药价格下调. NVBP的成本效益更高,价格比TPF低57%,突显了不同的市场适用性.
科学领域:
- 卫生经济学 卫生经济学
- 制药政策 制药政策
- 医疗保健系统比较研究
背景情况:
- 仿制药为患者和医疗保健系统提供潜在的成本节省.
- 合理的仿制药定价的两个关键策略包括分层定价框架和聚合购买力.
- 本研究比较了加拿大的分层定价框架 (TPF) 和中国的国家基于数量的采购 (NVBP).
研究的目的:
- 探讨加拿大的TPF和中国的NVBP之间的相似之处和差异.
- 分析这些仿制药定价机制的宏观背景,程序和结果.
- 总结其他司法管辖区考虑类似定价策略的经验教训.
主要方法:
- 使用Donabedian的结构-过程-结果框架进行比较分析.
- 系统地检查宏观背景,程序以及短期和长期结果.
- 分析TPF和NVBP机制之间的相互作用.
主要成果:
- 无论是TPF还是NVBP都实现了53%的仿制药价格降低.
- 观察到效率的提高:TPF价格为98种药物/年,NVBP价格为86种药物/年.
- 经购买力平价调整后,NVBP价格比60种可比药物的TPF价格平均低57%.
结论:
- 分级定价框架适用于稳定,成熟的制药市场 (高收入国家).
- 像NVBP这样的招标机制在较弱,不稳定的制药市场 (低收入和中等收入国家) 中更有效.
- 协调定价需要复杂的系统和强大的长期规划来解决复杂的相互作用.
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