高收入国家专利到期后的药物价格和对成本效益分析的影响
Miquel Serra-Burriel1,2, Nicolau Martin-Bassols1,3, Gellért Perényi1,4
1Faculty of Law and Faculty of Medicine, University of Zurich, Zurich, Switzerland.
JAMA health forum
|August 16, 2024
概括
药物专利到期导致价格大幅下降,影响了成本效益分析. 考虑到这些专利后的价格动态对于准确的药品经济评估至关重要.
科学领域:
- 卫生经济学 卫生经济学
- 制药政策 制药政策
- 药品定价 药品定价 药品定价
背景情况:
- 准确的成本效益评估对于医疗保健决策至关重要.
- 药品价格显著影响这些评估.
- 了解专利到期对药品价格的影响至关重要.
研究的目的:
- 调查药物专利到期和随后的价格变化之间的关联.
- 评估这些价格变化对成本效益分析的影响.
- 评估后专利价格动态对经济评估的影响.
主要方法:
- 一个使用事件研究方法的队列研究设计.
- 来自8个高收入国家 (澳大利亚,加拿大,法国,德国,日本,瑞士,英国,美国) 的505种药物的数据.
- 一个模拟成本效益模型来分析包括或排除后专利价格动态的影响.
主要成果:
- 在专利到期后的8年中,观察到药物价格的统计显著下降.
- 美国的价格下降速度最快 (82%在8年内下降),而其他国家的价格下降幅度在18%至64%之间.
- 如果不考虑通用输入,可能会使增量成本效益比率偏差40%至-40%.
结论:
- 在高收入国家,在专利到期后,药品价格大幅下降.
- 纳入专利地位和定价动态对于准确的成本效益评估是必要的.
- 这项研究强调了在制药经济评估中考虑真实世界的定价变化的重要性.
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