与昂贵的潜在疗法相关的价值观,挑战和反应:韩国各种利益相关者的观点
Jihyung Hong1, Eun-Young Bae2, Hye-Jae Lee3
1Department of Healthcare Management, Gachon University, Seongnam, South Korea.
Cost effectiveness and resource allocation : C/E
|March 4, 2024
概括
韩国的利益相关者寻求更好的价值评估高价治疗方法,优先考虑长期数据和重新评估,而不是外部参考定价,以管理负担能力和临床不确定性.
科学领域:
- 卫生政策 卫生政策
- 制药经济学 制药经济学
- 医疗保健管理的管理
背景情况:
- 韩国的单一支付国民医疗保险模式面临着新兴高价疗法带来的挑战.
- 由于创新治疗的成本,关于医疗保健政策的讨论正在加剧.
研究的目的:
- 了解利益相关者对韩国高价疗法的看法.
- 为应对新昂贵的医疗技术带来的挑战寻找解决方案.
主要方法:
- 与25个不同的利益相关者进行了11次重点小组采访 (2022年10月至11月).
- 通过在线调查补充了定性FGI,以捕捉更广泛的视角.
- 包括政府付款人,政策专家,患者组织和制药行业.
主要成果:
- 可负担性 (84%),临床不确定性 (76%) 和金钱的价值 (72%) 是关键问题.
- 利益相关者支持基于财务和结果的定价,但付款人指出分期付款存在挑战.
- 大多数 (84%) 支持使用长期数据进行重新评估,对外部参考定价 (48%) 的支持较少.
结论:
- 对于提高高价治疗方法的价值评估方法,存在广泛的共识.
- 使用长期数据进行强有力的再评估是优先考虑的,而不是外部参考定价.
- 新的融资策略必须包含预先定义的指导方针,以管理管理入口协议中的不确定性.
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