父母对中国儿童通用替代政策的偏好:一个离散选择实验
Ti Pu1, Junming Tan1, Wanting Xin1
1School of International Pharmaceutical Business, China Pharmaceutical University, Nanjing, China.
BMJ open
|January 6, 2026
概括
中国的家长优先考虑基因一致性评估和药物控制为儿科药物政策. 加强这些,以及报销和自主性,可以显著提高接受率.
科学领域:
- 制药政策 制药政策
- 卫生经济学 卫生经济学
- 儿科医学 儿科医学
背景情况:
- 通用药物替代政策旨在改善药物可用性并降低成本.
- 家长的接受对于成功实施儿科药物政策至关重要.
- 了解父母的偏好是优化这些政策的关键.
研究的目的:
- 调查中国家长对儿科仿制药替代政策的偏好.
- 确定影响家长接受这些政策的关键属性.
- 为优化政策和改善儿童药物获取提供证据.
主要方法:
- 在中国,对411名0-12岁儿童的父母进行了一项离散选择实验.
- 使用混合逻辑模型分析偏好系数和政策属性的相对重要性.
- 计算了当前和改进的政策场景的接受率.
主要成果:
- 通用一致性评估 (GCE) 和药物控制是影响父母偏好的最重要因素.
- 目前的儿科仿制药政策接受率为55.42%.
- 一个优化的政策情景,包括GCE,自主选择和增强管理,可以将接受率提高到83.31%.
结论:
- 中国家长强烈喜欢强调通用一致性评估和药物控制的政策.
- 建议包括继续实施GCE并尊重父母在药物选择中的自主权.
- 根据家长的偏好优化政策可以提高接受率和儿科药物的可用性.
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