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欧洲典型国家孤儿药定价和报销策略分析及对我国的启示

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孤儿药的定价和报销关系到患者用药的可及性,对罕见病的防治与保障具有重要意义.欧洲国家在孤儿药医保准入过程中形成了卫生技术评估的特殊标准和路径,并建立了专项支付基金和多样化的风险分担协议,有效地提升了孤儿药的可及性.基于此,文章选取欧洲典型国家,对比分析其孤儿药定价和报销的主要特点和共性保障思路,提出"构建孤儿药卫生技术评估加速程序、探索医保外孤儿药的分类保障机制、通过孤儿药定价和调整实现供给及研发的激励机制"的建议,以期为优化我国孤儿药市场准入机制提供参考依据.
Analysis on the Pricing and Reimbursement Strategy of Orphan Drugs in Typical European Countries and Its Enlighten-ment to China
The pricing and reimbursement of orphan drugs are related to the accessibility of patients,and are of great significance to the prevention and guarantee of rare diseases.European countries have formed special standards and paths for health technology evaluation,and established special payment funds and diversified risk-sharing agreements,which have effectively improved the accessibility of orphan drugs.Based on this,it selected typical European countries to compare the orphan drug pricing and reimbursement methods.Then,it put forward some suggestions"building orphan drug health technology evaluation accelerated program,exploring the health of orphan drug classification security mechanism,and attaining supply incentives and development incentives through orphan drug pricing and adjustment",to optimize the basis for the orphan drug market access mechanism to provide reference.

rare diseaseorphan drugpricing and reimbursementEuropehealth technology assessment

杨伊凡、谢金平、闫丽羽、翁婷婷、邵蓉

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中国药科大学国家药物政策与医药产业经济研究中心 南京 211198

罕见病 孤儿药 定价和报销 欧洲 卫生技术评估

江苏省研究生科研创新计划

KYCX23_0884

2024

中国卫生经济
中国卫生经济学会,卫生部卫生经济研究所

中国卫生经济

CSTPCDCHSSCD北大核心
影响因子:1.524
ISSN:1003-0743
年,卷(期):2024.43(2)
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