超越药丸:在制药政策中绘制以过程为导向的决策支持模型
Foteini Theiakou1, Catherine Kastanioti1, Dimitris Zavras2
1Department of Business Administration and Organizations, University of Peloponnese, 24100 Kalamata, Greece.
Healthcare (Basel, Switzerland)
|August 14, 2025
概括
决策支持模型 (DSM) 可以通过提高透明度和一致性来改善制药政策. 它们的采用是有限的,特别是在低收入和中等收入国家,需要进一步的标准化和探索.
科学领域:
- 卫生政策 卫生政策
- 制药科学 制药科学
- 决策分析 决策分析
背景情况:
- 决策质量对于公众对医疗保健的信任和政策可持续性至关重要.
- 制药政策决策 (定价,退款,获取) 需要强大的程序质量.
研究的目的:
- 在制药政策中识别和描述以过程为中心的决策支持模型 (DSM).
- 评估DSM在改善药品获取决策的程序质量方面的潜力.
主要方法:
- 对同行评审和灰色文献的叙事审查 (2000-2025年).
- 在PubMed,Scopus的搜索,以及WHO,ISPOR和HTA机构的报告.
- 包含详细介绍了解决决策过程质量问题的DSM的研究.
主要成果:
- 确定的主要DSM包括决策定向计划的质量 (QoDoS),WHO-INTEGRATE和AGREE II.
- QoDoS 是多功能性的,适用于监管,HTA 和行业设置.
- 大多数DSM提高了透明度,一致性和利益相关者的参与,但采用是有限的,特别是在LMICs.
结论:
- 专注于过程的DSM为提高制药政策透明度,一致性和合法性提供了重大潜力.
- 标准化评估方法和促进在各种卫生系统中更广泛采用是关键的下一步.
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