医疗保健系统的药品定价证据与多个按质量调整的寿命年限
Anton P H Klockhoff1, Jonathan Siverskog2, Martin Henriksson1
1Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Östergötland, Sweden.
瑞典的药物价格低于补偿门,特别是在严重病例中. 公司可以根据政策调整价格,与保密折扣相关的严格程度更高.
科学领域:
- 健康经济学
- 制药政策
- 药物经济学
背景情况:
- 报销系统通常使用成本效益值来指导药品定价.
- 更严重的情况可能需要更高的成本调整寿命年 (ICER) 津贴.
- 了解药品定价动态对于医疗资源分配至关重要.
研究的目的:
- 分析药物定价与基于严重性的补偿门.
- 为了确定更严重的疾病是否获得更高的ICER.
- 研究门作为价格上限和影响药品定价的因素的作用.
主要方法:
- 分析瑞典牙医和药物福利局 (Dental and Pharmaceutical Benefits Agency) 的84项公共补偿决定 (2017-2024年).
- 线性回归以评估疾病严重程度,ICER和定价偏差之间的关系.
- 评估严重程度与保密折扣之间的关联.
主要成果:
- 随着疾病的严重程度,ICER显著增加 (P < .01).
- 平均ICER为30.6%低于相关门;没有观察到超过门的定价.
- 较高的严重程度与保密折扣的可能性增加 (27.4%) 和较小的偏离值 (19.1%).
结论:
- 药物价格在研究系统中通常设置在偿还门以下,这表明它们充当了价格上限.
- 疾病的严重程度会影响定价策略,严重程度更高与使用更多保密折扣有关.
- 预计制药公司的价格调整是为了回报政策.
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