[法国的创新医疗器械:基于公共卫生数据库的描述性研究]
François Franceschi1, Nicolas Martelli2, Judith Pineau1
1Pharmacy Department, Georges-Pompidou European Hospital, AP-HP, 20, rue Leblanc, 75015 Paris, France.
Annales pharmaceutiques francaises
|December 6, 2025
概括
创新医疗器械 (MD) 在法国公共医疗机构的采用率更高. 需要进一步整合数据库,以有效监测医院的创新,并管理与新技术相关的成本.
科学领域:
- 卫生经济学 卫生经济学
- 医疗器械创新 医疗器械创新
- 医疗保健政策 医疗保健政策
背景情况:
- 创新的医疗器械 (MD) 对医疗保健质量和预算管理构成挑战.
- 在医院环境中采用和传播新型医疗药物的情况没有得到充分的记录.
- 了解创新型医疗保健医生的风景对于有效的医疗保健资源配置至关重要.
研究的目的:
- 描述由法国国家卫生局 (HAS) 认定为创新型的MD.
- 分析法国医疗保健机构中这些创新型MD的采用模式.
- 评估创新的MDs的财务影响和使用分布.
主要方法:
- 使用2019年至2024年的法国公共卫生数据 (HAS,CNAM,OMEDIT,ATIH) 构建了一个数据库.
- 根据临床附加值 (ASA/ASR I-IV级) 和列入特定补偿清单 (LPPR III和V章节) 的基础上确定了创新的MD.
- 分析了有关公共和私人机构以及MD类型的使用数据.
主要成果:
- 创新型医疗药品 (ASA I-IV) 在2019-2024年期间占偿还金额的9.711.7% (197.261亿欧元).
- 大多数退款资金 (7783%) 被分配给已建立的品牌医生 (ASA V).
- 创新的MD主要在公共卫生机构中使用,在ASA/ASR水平和包括心血管和骨科在内的关键领域中年均分布稳定.
结论:
- 在法国,创新的医疗医生在公共医疗保健部门更频繁地被采用.
- 显然需要改善卫生数据库之间的互操作性,以更好地监测医院的创新.
- 加强数据监测可以支持有关新医疗技术整合的知情决策.
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