儿科市场准入:一个定性研究
Lieke Maas1, Angelika Joos2, Mickael Hiligsmann3
1Department of Health Services Research, Care and Public Health Research Institute (CAPHRI), Maastricht University, P.O Box 616, 6200 MD, Maastricht, The Netherlands. lieke.maas@maastrichtuniversity.nl.
导航儿科药物市场准入需要解决监管和报销障碍. 协调要求和实施国家特定的定价模式可以改善患者获得基本药物的机会.
科学领域:
- 制药科学 制药科学
- 卫生政策 卫生政策
- 监管事务 监管事务
背景情况:
- 儿童药物开发面临着独特的监管和市场准入挑战.
- 目前欧洲儿科药品进入市场的途径复杂且分散.
研究的目的:
- 分析欧洲当前的儿科医学 (PM) 监管和市场准入要求.
- 为减轻儿科市场准入方面的挑战提出解决方案.
主要方法:
- 定性研究涉及22个半结构面试与各种利益相关者 (行业,监管机构,HTA机构,临床医生,学术界).
- 采访涵盖了荷兰,德国,英国和法国的儿科研究,监管/报销流程,挑战和解决方案.
- 使用Atlas.ti 9进行主题分析,以确定促进儿科市场准入的关键因素.
主要成果:
- 欧洲药品署 (EMA) 和卫生技术评估 (HTA) 批准要求存在显著的异质性.
- 德国提供批准后的直接退款,而其他国家要求采取额外的步骤,导致延迟.
- 促进因素包括多方利益相关者合作,透明度,患者参与,现实世界的证据和定制的临床试验设计.
- 具体的国家定价模式和儿科激励措施对于创新和及时的患者接入至关重要.
结论:
- 监管和补偿审批流程的差异在欧洲为儿科药物制造障碍.
- 价格和退款程序的国际变化需要战略方法来优化儿科市场准入.
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