中国医疗保险2024,Issue(11) :28-33.DOI:10.19546/j.issn.1674-3830.2024.11.003

真实世界数据在创新药医保准入中的应用情境及路径

Application Scenarios and Paths of Real-World Data in Innovative Drug Medical Insurance Admission

李芬 刘宇晗 胡嘉浩 朱碧帆 侯晓慧 范珂也 金春林
中国医疗保险2024,Issue(11) :28-33.DOI:10.19546/j.issn.1674-3830.2024.11.003

真实世界数据在创新药医保准入中的应用情境及路径

Application Scenarios and Paths of Real-World Data in Innovative Drug Medical Insurance Admission

李芬 1刘宇晗 2胡嘉浩 2朱碧帆 2侯晓慧 2范珂也 3金春林2
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作者信息

  • 1. 上海市卫生和健康发展研究中心 上海 200040;上海市卫健委财务管理事务中心 上海 200040
  • 2. 上海市卫生和健康发展研究中心 上海 200040
  • 3. 中国药科大学 南京 210009
  • 折叠

摘要

我国创新药医保准入进程正在逐步加快,但准入决策风险也随之上升.规范应用真实世界数据可以为医保准入评估提供重要证据,从而降低决策风险.本文分析真实世界数据的优劣势及其在医保准入中的应用情境,梳理国内外现有政策框架和指南规范,提出真实世界数据在我国创新药医保准入中的研究规范和应用路径,为真实世界数据研究应用于医保准入提供参考.

Abstract

The process of innovative drug medical insurance admission in China is gradually accelerating,but the risk of admission decision-making is also increasing.Standardizing the application of real-world data can provide important evidence for medical insurance admission assessment,thereby reducing decision-making risks.This article analyzes the advantages and disadvantages of real-world data and application scenarios in medical insurance access,summarizes current policy frameworks and guidelines at home and abroad,and proposes research standards and application paths for real-world data in China's innovative drug medical insurance access,providing references for the application of real-world data research in medical insurance access.

关键词

真实世界数据/创新药/医保准入/应用情境/研究规范/应用路径

Key words

real-world data/innovative drugs/medical insurance admission/application scenarios/research standard/application path

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出版年

2024
中国医疗保险
中国医疗保险研究会

中国医疗保险

影响因子:0.492
ISSN:1674-3830
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