这个价格是对的吗? 今天为价值付费,明天可以获得更多的价值
Sreeram V Ramagopalan1,2, Jose Diaz3, Grace Mitchell4
1Lane Clark & Peacock LLP, London, UK. sreeram.ramagopalan@lcp.uk.com.
BMC medicine
|January 29, 2024
概括
药品定价辩论往往忽略了制药支出增长速度比其他医疗保健成本慢. 一个整体的观点揭示了药物.
科学领域:
- 卫生经济学 卫生经济学
- 制药政策 制药政策
- 创新研究 研究 创新研究
背景情况:
- 当代关于药品定价的讨论往往被有关激励,创新,制药支出比例以及影响药品经济评估的因素的误解所掩盖.
- 关于金融激励与制药创新之间的关系,医疗保健支出中药物所占实际份额以及非临床因素是否影响药物的经济评估,人们仍然存在误解.
研究的目的:
- 澄清围绕药品定价,医疗保健支出和药物的多方面的价值的常见误解.
- 倡导在评估药物价值方面采用整体方法,考虑超出临床效能的社会利益.
- 为政策讨论提供信息,确保患者获得创新药物,同时考虑其广泛的社会价值.
主要方法:
- 对过去25年医疗保健支出趋势的分析,将药品支出增长与住院和门诊费用进行比较.
- 评估药物的总社会价值的概念框架,将其与患者特定价值进行对比.
- 审查与制药行业创新激励和投资回报相关的经济原则.
主要成果:
- 在过去的25年里,医药支出增长超过了住院和门诊医疗保健支出.
- 药物为患者,家庭和社会提供了显著的短期和长期益处,超出了直接的临床效应.
- 品牌药物对社会的价值往往大大超过了它对个体患者的价值.
结论:
- 药物价值的整体评估,包括社会利益,对于公平的医疗保健资源分配至关重要.
- 药品的社会价值应该指导可负担性和可访问性决策,防止高昂的自费成本或限制性评估限制获取.
- 在不考虑未解决的健康问题的社会成本的情况下阻止药物开发是对创新的反作用.
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