根据国际参考定价,估计美国对门诊处方药物的节省
Yang Ye1, Abhishek Pandey1, Meagan C Fitzpatrick2
1Center for Infectious Disease Modeling and Analysis, Yale School of Public Health, New Haven, CT 06510.
概括
在美国实施处方药的国际参考定价可以每年节省1840亿美元. 这一政策将大大降低患者和医疗保健系统的成本,特别是慢性疾病.
科学领域:
- 卫生经济学 卫生经济学
- 制药政策 制药政策
- 公共卫生 公共卫生
背景情况:
- 高昂的处方药费用是美国的一个主要问题.
- 国际参考价格 (IRP) 是一项旨在控制这些成本的政策.
- 国际药物价格计划 (IRP) 涉及根据其他高收入国家的药物价格设定药物价格.
研究的目的:
- 评估在美国实施IRP可能节省的国家成本.
- 分析IRP对不同支付人的影响 (私人保险公司,医疗保险,医疗补助).
- 评估IRP对慢性疾病的药品支出的影响.
主要方法:
- 对超过8000种药物的使用模式进行了全面分析.
- 美国药品价格与加拿大,法国,德国,日本和英国药品价格的比较.
- 在IRP情景下预测国家储蓄.
主要成果:
- 预计每年国家节省1840亿美元.
- 私人保险公司 (51%),医疗保险 (62%) 和医疗补助 (35%) 节省了大量资金.
- 治疗糖尿病,心房动和心力衰竭的药物成本降低了75%以上.
结论:
- IRP为美国医疗保健系统提供了巨大的财政效益.
- 这一政策有可能提高医疗保健的公平性,并减少患者的财务负担.
- 国际化药品计划 (IRP) 证明了一种可行的策略,可以缓解不断上升的药品支出.
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