谈判保险覆盖的价格和支付条款mHealth应用程序:基于德国经验的定性内容分析和分类发展
Bettina Freitag1, Leonard Fehring2,3, Marie Uncovska1
1Health Care Informatics, Faculty of Health, School of Medicine, Witten/Herdecke University, Alfred-Herrhausen-Straße 50, Witten, 58455, Germany.
Health economics review
|October 4, 2024
概括
德国 德国 德国 德国
科学领域:
- 数字健康数字健康
- 卫生经济学 卫生经济学
- 卫生政策 卫生政策
背景情况:
- 德国率先推出了配有医疗保险的处方手机数字健康应用程序 (mHealth应用程序",DiGA").
- 对于DiGA的初始定价不透明以及缺乏成本效益证据存在担忧.
- 应用程序提供商和保险公司之间的利益分歧需要明确的定价框架.
研究的目的:
- 评估德国mHealth应用程序提供商和法定医疗保险的利益.
- 为可偿还的mHealth应用程序开发一个全面的定价和支付分类法.
主要方法:
- 对与应用程序提供商和医疗保险公司进行的16次专家采访进行了定性内容分析.
- 基于既定方法的分类学开发过程.
主要成果:
- 基于价值的护理模式和基于使用的定价是最受欢迎的.
- 开发了一个四步的定价和支付分类,涵盖价格查找,先决条件,模式和谈判.
结论:
- 优化稀缺的医疗保健资源需要为mHealth应用程序定价以患者利益为重点.
- 开发的分类学为国际利益相关者提供了一个规划和决策框架.
- 这项研究解决了关于mHealth应用程序定价策略的结构化研究的差距.
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