对药物定价难题的政策选择
1Department of Economics, Princeton University and National Bureau for Economic Research, Princeton, NJ 08540.
概括
实施单一的国际药品价格可以降低美国药品成本,同时保持研发 (R&D) 激励措施. 这种方法也会提高其他发达国家的价格.
科学领域:
- 卫生经济学 卫生经济学
- 制药政策 制药政策
- 国际贸易 国际贸易 国际贸易
背景情况:
- 目前美国制药定价政策面临高成本的审查,特别是影响低收入和老年人群.
- 美国市场显著补贴全球制药价格,美国药品价格超过其他高收入经济合作与发展组织 (OECD) 国家的250%以上.
研究的目的:
- 分析拟议的美国制药价格降低对研发投资的经济影响.
- 模拟单一国际制药定价体系对全球药品价格和研发激励措施的影响.
- 探索美国医疗保险市场作为影响国际药品定价的工具.
主要方法:
- 经济建模模拟统一的国际药物价格的影响.
- 美国药物价格与其他经合组织国家的比较分析.
- 对制药公司利结构和研发投资驱动因素的分析.
主要成果:
- 拟议的美国降价的直接好处可能会被大幅削减研发投资所抵消.
- 一个单一的国际价格,固定总利,将使美国价格下降一半.
- 这种定价模式将使其他经合组织国家的价格上 (28%至300%以上),同时保持研发激励措施.
结论:
- 目前美国的定价建议有可能破坏关键的制药研发.
- 一个统一的国际定价战略,利用美国市场准入 (例如,医疗保险),提供了一个平衡可负担性和创新的机制.
- 关于药品定价的国际合作对于可持续的全球制药市场至关重要.
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