利用医疗技术评估开发管理访问协议,以促进爱尔兰的药物补偿
Claire Gorry1,2, Maria Daly3,4, Rosealeen Barrett3,4
1Medicines Management Programme, Health Service Executive, Trinity Centre for Health Sciences, St James's Hospital, Dublin 8, Ireland. gorrycm@tcd.ie.
Applied health economics and health policy
|August 12, 2024
概括
爱尔兰的管理访问协议 (MAP) 确保了高成本药物的预算确定性. 这些医疗技术管理举措平衡了患者获取和付款人监督,支持超过3000名患有慢性疾病的患者.
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
- 制药政策 制药政策
背景情况:
- 爱尔兰的卫生服务行政部门实施了健康技术管理 (HTM) 计划,以控制药品支出.
- 管理访问协议 (MAP) 引入,以管理获得高成本药品的机会,确保付款人监督和预算确定性.
研究的目的:
- 描述爱尔兰管理访问协议 (MAP) 的开发和运行.
- 用特定高成本药物的案例研究来说明MAP.
主要方法:
- 医疗补助计划规定了补偿资格标准,包括处方权,临床标准,治疗史和数据收集.
- 根据医疗技术评估,商业协议和决策者建议,根据每个药物量身定制标准.
主要成果:
- 到2023年12月,在爱尔兰,28种药物根据MAP获得了补偿.
- 到2023年9月,超过3000名患者通过MAP获得了新的慢性疾病治疗方法.
结论:
- 通过使利用与预算保持一致,MAP为付款人提供了成本确定性,同时为最有需求的患者提供了更容易的访问.
- 在爱尔兰药品报销中建立了MAP,使付款人,患者和行业受益,并且可能会持续存在.
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