欧洲电生理学消耗品采购:对获取,创新和基于价值的护理的影响
Lucía Osoro1,2,3, Nikola Kozhuharov2,4, Runa Landen2,5
1Department of Cardiology, H.U.B.-Hôpital Erasme, Université Libre de Bruxelles, Brussels 1070, Belgium.
概括
欧洲电生理学 (EP) 消耗品的公共采购在治理,评估和临床医师参与方面表现出显著的差异. 协调这些系统可以改善患者护理和创新准入.
科学领域:
- 卫生政策 卫生政策
- 医疗器械采购 医疗器械采购
- 欧洲医疗保健系统 欧洲医疗保健系统
背景情况:
- 电生理学 (EP) 消耗品的公共采购系统在欧洲各个地区存在很大差异.
- 了解这些差异对于改善医疗保健提供和创新至关重要.
研究的目的:
- 为了比较21个欧洲国家的EP消耗品的公共采购系统.
- 重点领域包括治理,评估,临床医生的投入,报销,创新准入和可持续性.
主要方法:
- 一个定性,探索性研究,使用22个半结构面试.
- 参与者包括来自21个国家的EP临床医生,采购专家和卫生系统利益相关者.
- 采访数据使用结构化框架进行了专题编码.
主要成果:
- 在采购水平 (医院,区域,国家) 和评估方法 (价格驱动与临床加权) 中观察到的异质性.
- 临床医生的参与是常见的,但往往是非正式的;报销模式和创新准入途径有很大差异.
- 可持续性标准很少在采购决策中得到正式规定.
结论:
- 欧洲欧洲议会的消耗品采购系统在结构和优先级上存在显著差异.
- 整合临床投入,基于价值的框架和可持续性指标可以提高结果.
- 建议制定统一的指导方针,以促进公平和创新友好的采购.
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