基于活动的支付系统 (T2A) 的改革如何帮助资助创新医疗产品?
Xavier Armoiry1, Nejma Saidani2, Martine Aoustin3
1UMR CNRS 5510 MATEIS, service pharmaceutique, hospices civils de Lyon, université Claude-Bernard Lyon 1, Institut des sciences pharmaceutiques et biologiques (ISPB), 69008 Lyon, France.
概括
法国 法国 法国 法国
科学领域:
- 卫生经济学 卫生经济学
- 医疗保健政策 医疗保健政策
- 获得医疗创新,获得医疗创新.
背景情况:
- 法国在2004年为医疗机构融资实施了基于活动的定价 (T2A).
- T2A从一般的分配转向基于活动性质和数量的支付.
- 该系统旨在实现公私支付方式的趋同,但发现了一些局限性.
研究的目的:
- 评估T2A新改革对医院获得创新医疗保健产品的影响.
- 确定挑战,并提出改善获得医疗创新的建议.
主要方法:
- 分析官方报告和利益相关者的声明.
- 专家讨论在吉恩斯研讨会 (圆桌3) 的专家讨论.
- 问题的范围和观察图.
主要成果:
- T2A融资已经改变了医疗机构的运营,特别是在公共部门.
- 已经确定了T2A融资模式的局限性.
- 提出了六项一般性建议,以提高获得创新的健康产品的机会.
结论:
- 需要对T2A融资进行改革,以解决已发现的局限性.
- 改善获得创新医疗保健产品的机会需要制定战略建议.
- 该研究为政策调整提供了一个框架,使医院服务用户受益.
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