一个框架,为药品的公平定价
1School of Public Health, University of Alberta, Edmonton, Canada. paulden@ualberta.ca.
PharmacoEconomics
|December 8, 2023
概括
确定公平的药品价格对于医疗保健预算至关重要. 该框架使用经济原则来平衡成本,患者福利和制造商激励,建议较低的集体价格最大限度地提高健康和福利.
科学领域:
- 卫生经济学 卫生经济学
- 制药政策 制药政策
- 公共卫生 公共卫生
背景情况:
- 医药成本不断上升,在全球范围内压迫医疗保健预算.
- 确定"公平"的药品价格对付款人来说是一个重大挑战.
- 现有的定价模式没有充分考虑社会和患者的福利.
研究的目的:
- 为确定"公平"的药品价格提出一个经济框架.
- 将医疗机会成本和社会支付意愿纳入定价.
- 分析制造商的激励和战略定价行为.
主要方法:
- 建立一个基于基本经济原则的框架.
- 整合供给侧和需求侧的成本效益考虑因素.
- 对动态计算的增量成本效益比率 (ICER) 的分析.
主要成果:
- 一个"公平"的药品价格导致动态计算的ICER低于医疗机会成本门.
- 集体医疗价格低于指定的门,最大限度地提高了人口健康和总体福利.
- 确定了制造商的激励措施,以达到成本效益值的价格.
结论:
- 拟议的框架为药品定价提供了一种新的方法.
- 对付款方的政策影响,以改善在预算限制范围内改善人口健康结果.
- 需要重新考虑以价值为基础的定价,以确保公平的经济余分配.
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