关于潜在的创新医疗技术的价格决定因素和定价政策:范围审查
Nicolas S H Xander1,2, Tom Belleman3,4, Maximilian Salcher-Konrad5,6
1Erasmus School of Health Policy & Management, Erasmus University Rotterdam, P.O. Box 1738, 3000 DR, Rotterdam, The Netherlands. xander@eshpm.eur.nl.
概括
政策制定者在价格,预算,获取和创新方面扎. 基于价值的定价显示出患者获取的前景,但在医疗器械和环境定价方面仍然存在知识缺口.
科学领域:
- 健康经济学
- 卫生政策
- 创新管理
背景情况:
- 政策制定者在定价潜在的创新医疗技术方面面临挑战.
- 医疗保健预算,患者接入和创新激励的平衡至关重要.
- 需要对价格决定因素和政策进行映射.
研究的目的:
- 为了对价格决定因素的证据进行映射
- 确定欧洲经济区 (EEA) 和经济合作与发展组织 (OECD) 国家的pIHT定价政策.
- 评估这些政策对患者获取和医疗保健可持续性的影响.
主要方法:
- 进行科学和灰色文献的范围审查 (2014-2023年).
- 包括文献数据库和利益相关者组织的记录.
- 使用雪球和手动加值来进行全面的数据收集.
主要成果:
- 其中包括135份记录,15份有关价格决定因素的详细利益相关者意见,其中更多的是基于价值的因素.
- 欧洲经济区/经合组织的定价政策多样化,经常结合干预措施.
- 外部价格参考 (EPR) 提供短期可负担性,但可能导致不公平和获取问题.
结论:
- 在文献中,以价值为基础的定价与医疗技术评估相结合,更受pIHT访问的青.
- 有关医疗器械定价,利益相关方的全面观点和pIHT定价的环境考虑存在知识差距.
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