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针对1A组药品的专业化药品组件的公共采购价格变化:2013-2022年观察性研究
Paula Rossignoli1, Roberto Pontarolo2, Fernando Fernandez-Llimos3
1Universidade Federal do Paraná, Programa de Pós-Graduação em Assistência Farmacêutica, Curitiba, PR, Brasil.
概括
与巴西卫生部的价格相比, 巴拉纳州卫生部门对1A组药物支付了超过2亿巴西雷尔. 集中采购可以提高巴西国家卫生系统的成本效益.
科学领域:
- 健康经济学
- 制药政策
- 公共卫生采购
背景情况:
- 巴西国家卫生系统在药品采购成本管理方面面临挑战.
- 分散的药物采购可能导致价格变化和效率低下.
研究的目的:
- 为了比较巴西卫生部和帕拉纳州卫生部之间的1A组药物的采购价格.
- 量化成本差异,并确定国家级药品采购中的潜在过高价格.
主要方法:
- 分析2013年至2022年药物获取数据的回顾性观察研究.
- 两个采购来源的加权平均收购价格的计算.
- 分析巴拉纳获得的药品的价格比率和总价格过高.
主要成果:
- 在84.6%的比较中,帕拉纳的价格超过了卫生部的价格.
- 一些药品的价格是州级的47倍以上.
- 巴拉纳的超支超过2亿 BRL,占超价的55.7%.
结论:
- 在巴西,集中联邦和分散国家药物采购之间存在显著的价格差异.
- 建议采用集中价格谈判和采购策略,以提高巴西国家卫生系统的成本效益.
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