新加坡高成本治疗的基于价值的支付:对利益相关方观点的定性研究
Diana Beatriz Bayani1, Hwee Lin Wee1
1Saw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore.
概括
风险分担协议 (RSAs) 在新加坡的医疗保健支付方面显示出适度的前景. 成功实施需要明确的目标,透明的标准和强有力的利益相关者参与,以克服数据基础设施的挑战.
科学领域:
- 卫生经济学 卫生经济学
- 卫生技术评估 卫生技术评估
- 医疗保健的融资 医疗保健的融资
背景情况:
- 药品成本上升需要创新的医疗保健支付模式.
- 风险分担协议 (RSA) 是一种基于价值的机制,用于管理昂贵的技术成本.
- 了解利益相关者的观点对于在新加坡有效实施至关重要.
研究的目的:
- 调查利益相关者对新加坡基于价值的支付,特别是RSAs的观点.
- 确定在新加坡医疗保健环境中实施RSA的障碍和促进因素.
- 为未来的医疗技术评估和融资策略提供信息.
主要方法:
- 使用参与者采访进行描述性定性研究.
- 采访时间为2021年10月至2022年4月.
- 对面试成绩单进行两阶段的主题分析.
主要成果:
- 17名受访者参与了调查,其中出现了5个关键主题.
- 利益相关者对RSA持有适度积极的看法,尽管经验有限.
- 关键主题包括需要明确的目标,透明的标准,能力建设和利益相关方参与.
- 数据基础设施带来了挑战和机遇,并指出了管理负担.
结论:
- 在新加坡的背景下,先前发现的RSA障碍和促进因素得到了证实.
- 通过RSAs,基于价值的支付可能会减轻不确定性,并提高对医疗保健技术的获取.
- 解决已识别的障碍对于成功和有效地实施RSAs至关重要.
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