卫生技术定价和支付计划的设计和特点:范围审查和对灵活的需求驱动分类建议
Vittoria Ardito1,2, Oriana Ciani3, Michael Drummond3,4
1Center for Research on Health and Social Care Management (CERGAS), Government Health and Not for Profit (GHNP) Division, SDA Bocconi School of Management, Via Sarfatti, 10, 20136, Milan, Italy. vittoria.ardito@sdabocconi.it.
PharmacoEconomics
|October 15, 2024
概括
这项研究绘制了70个医疗技术的定价和支付方案. 一种新的分类方法有助于决策者根据具体目标和特征选择方案.
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:
- 定价和支付方案对于医疗技术的可负担性和可获得性至关重要.
- 现有计划缺乏全面的分类,阻碍了有效的决策.
- 临床和财务不确定性需要创新的解决方案,以获得医疗保健.
研究的目的:
- 为医疗技术绘制现有类型的定价和支付方案.
- 为这些计划提出一种新的分类方法.
- 协助决策者根据需求选择合适的方案.
主要方法:
- 系统审查和元分析的首选报告项目 扩展范围审查 (PRISMA-ScR) 符合范围的文献审查.
- 在PubMed,科学网络和Scopus数据库 (2010-2023) 中进行的搜索.
- 描述方案类型的叙述综合和表格描述.
主要成果:
- 确定了70个独特的定价和支付方案.
- 三分之二 (67%) 的计划已经在实践中实施.
- 计划根据目标,结果组件,支付方式和证据要求进行分类.
结论:
- 建议对定价和支付制度采取灵活的,以需求为导向的分类方法.
- 强调基于具体目标的杆化计划特点.
- 促进计划的明智选择,以应对医疗保健获取和负担能力的挑战.
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