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管理入口协议如何有助于拉丁美洲的覆盖决策?
Sebastián García Martí1, Andrés Pichon-Riviere1, Federico Augustovski1
1Institute for Clinical Effectiveness and Health Policy (IECS-CONICET), Buenos Aires, Argentina.
International journal of technology assessment in health care
|December 2, 2024
概括
管理入口协议 (MEA) 可以帮助拉丁美洲导航医疗保健技术访问. 灵活的实施和利益相关者对话是克服数据缺口和法律不确定性等障碍的关键.
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
- 拉丁美洲医疗保健政策
背景情况:
- 拉丁美洲的医疗保健利益相关者旨在加快技术获取.
- 利益和成本的不确定性往往阻碍了这一过程.
- 管理入口协议 (MEA) 是拟议的风险分担机制.
研究的目的:
- 探索MEA在拉丁美洲技术报销和决策中的实用性.
- 为了应对挑战,并确定在该地区实施MEA的解决方案.
主要方法:
- 背景文件的分析.背景文件的分析.
- 对相关利益相关者进行调查.
- 从与国家代表组成的政策论坛进行审议工作.
主要成果:
- 在拉丁美洲,人们对MEA越来越感兴趣,重点是金融协议,而不是临床结果.
- 确定的障碍包括缺乏法律框架,数据不足和利益相关者的不信任.
- 拟议的解决方案包括早期利益相关者参与和试点短期MEA.
结论:
- 灵活的MEA实施至关重要,承认数据的不确定性.
- 透明的对话对于纳入不同利益相关者的观点至关重要.
- 制定支持性的法律框架可以加强技术获取计划.
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