调整欧洲国家对创新药物的新支付模式的实施的重要性
Zoltán Kaló1,2, Maciej Niewada3, Tamás Bereczky4
1Center for Health Technology Assessment, Semmelweis University, Budapest, Hungary.
Expert review of pharmacoeconomics & outcomes research
|November 16, 2023
概括
创新的药品支付模式面临挑战,原因是欧洲各地的异质性. 本文提出了五个调整领域,以改善患者获得复杂药物的机会.
科学领域:
- 卫生经济学 卫生经济学
- 制药政策 制药政策
- 进入市场 进入市场 进入市场
背景情况:
- 复杂的制药技术带来了定价和报销的挑战.
- 现有的价值判断和支付模式往往是理论性的,试点范围有限,或在不同国家不一致地应用.
- 这种异质性阻碍了医疗保健行业满足卫生技术评估 (HTA) 机构和付款人的证据要求的能力.
研究的目的:
- 提出减少欧洲各国药品支付模式异质性的策略.
- 确定药品定价和补偿的关键领域进行调整.
- 加强患者平等获得创新药物的机会.
主要方法:
- 分析欧洲现有的药品支付模式.
- 确定五个关键的协调领域:扩展评估框架,基于绩效的风险分担协议,聚合采购,替代接入方案和延迟支付模式.
- 讨论对欧洲成员国的政策影响.
主要成果:
- 建议在药品支付模式中调整五个具体领域.
- 强调需要协调,以应对目前在定价和报销方面的挑战.
- 强调了通过协调方法改善患者接入的潜力.
结论:
- 药品支付模式组件的调整对于患者公平获得复杂技术至关重要.
- 尽管各国在定价和退款方面有权力,但需要欧洲的合作.
- 协调努力可以简化市场准入,更有效地满足付款人的期望.
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