评估实施患者参与台湾药品报销决策过程的情况
Yi-Ling Tsai1,2, Wen-Wen Yang3,2, Grace Hui-Min Wu4,2
1Department of Health Care Management, National Taipei University of Nursing and Health Sciences, Taipei City, Taiwan.
概括
台湾的患者参与
科学领域:
- 医疗保健服务研究 医疗服务研究
- 卫生政策 卫生政策
- 患者参与 患者参与
背景情况:
- 患者参与是透明和响应性药品报销决策的关键.
- 台湾国家医疗保险管理局 (NHIA) 有针对患者意见的政策,但存在落实差距.
- 马赛克模型强调为有效的患者参与提供特定背景的方法.
研究的目的:
- 评估NHIA将患者的意见纳入药品报销决策中的情况.
- 检查影响患者参与这些决定的因素.
- 评估患者参与与报销结果之间的关联.
主要方法:
- 对灾难性疾病 (2016-2023) 药品报销申请的分析.
- 来自PBRS会议记录,在线患者意见平台 (OPOP) 和NHIA电子邮件的数据.
- 通用线性模型用于识别预测因素和探索关联.
主要成果:
- 患者参与率在28.4%的提交中出现,在研究期间从17%增加到44%.
- 参与度因提交类型而异 (讨论,瘤学,新药的参与率较高;自身免疫性疾病,新征兆的参与率较低).
- 患者参与与PBRS批准率没有显著关联.
结论:
- 尽管有所表达的努力,NHIA的患者参与实施仍然不够理想.
- 需要有结构的机制和更广泛的应用,而不仅仅是高调的案件.
- 结果为东亚医疗保健系统提供了见解,旨在提高患者参与度.
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