制定成本效益分析门的框架:埃及案例.
Ahmad N Fasseeh1,2, Nada Korra3, Baher Elezbawy2
1Faculty of Pharmacy Alexandria University, Alexandria, Egypt.
成本效益门 (CET) 在全球范围内有所不同,通常与人均GDP有关. 埃及为医疗技术评估制定了多层次的CET框架,考虑到疾病罕见性和补偿水平.
科学领域:
- 卫生经济学 卫生经济学
- 卫生政策 卫生政策
- 药物经济学 药物经济学
背景情况:
- 成本效益分析 (CEA) 需要政策相关性的基准值.
- 成本效益值 (CET) 量化了每单位健康益处的可接受成本.
- 在CETs的全球变化需要特定的背景框架.
研究的目的:
- 确定全球CET价值和趋势.
- 分析多个CET的应用.
- 为埃及制定一个国家特定的CET框架.
主要方法:
- 对国际CETs的文献综述.
- 专家小组就埃及框架发展进行商.
- 为了就埃及的CET达成共识,举行了多方利益相关者研讨会.
主要成果:
- 全球平均CET是人均GDP的135% (范围为21-300%).
- 较高的收入与较低的CET相关,占人均GDP的百分比.
- 埃及的框架建议人均国内生产总值 (GDP) 的1-3倍,有孤儿药物和私人补偿的倍数.
结论:
- 在全球范围内,CET与人均GDP密切相关.
- 低收入国家相对于人均国内生产总值 (GDP) 有较高的CET.
- 埃及采用了多重CET系统来评估卫生技术.
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