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英国、加拿大和澳大利亚国家卫生服务保障体系下罕用药遴选原则分析 被引量:8

Selection Principle of Orphan Drug Under UK,Canada and Australia National Health Service Security System
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摘要 采用对比研究方法,分析英国、加拿大和澳大利亚医疗保险制度中罕用药保险覆盖遴选的评价原则。研究发现3个国家医保药物评价机构罕用药遴选的评价原则不仅考虑药物的经济学及循证医学评价证据,而且还引入新的评价理念,如风险分担、社会团结,利益相关者参与等。建议我国罕用药遴选评价,不仅要考虑罕用药的成本,更要综合考虑罕用药的治疗价值、唯一性和社会需要。 This paper used comparative method to analyze the evaluation principles of the selection of orphan drug of medical insurance sys- tem in UK, Canada and Australia. The medical insurance system of UK, Canada and Australia not only focuses on the economic and evidence - based evaluation principles of orphan drugs, but also considers some new ideas during the evaluation process of orphan drugs, such as risk - sha- ring agreement, social solidarity, stakeholder participation, and so on. Based on the good experiences from three medical insurance systems, it is very crucial for the evaluation principles of orphan drugs'selection that we should consider the cost of orphan drugs and also care for the treatment value and therapeutic uniqueness and society needs of the orphan drugs in China.
出处 《医学与社会》 2016年第1期10-12,16,共4页 Medicine and Society
基金 国家自然科学基金青年基金项目 编号为70903025 国家自然科学基金项目 编号为71373089
关键词 药品管理 遴选 罕用药 Drug Managementj Selection Orphan Drug
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参考文献17

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同被引文献57

  • 1陈伟,徐兰飞.英国医疗服务监管体系简介[J].卫生经济研究,2006,23(1):22-24. 被引量:20
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  • 3Todd Gammie,Christine Y. Lu ,Zaheer Ud-Din Babar. Access to Orphan Drugs: A Comprehensive Re- view of Legislations, Regulations and Policies in 35 Countries [J]. Plos One, 2015,10:1-24.
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  • 8Alain Denis, Steven Simoens. Policies for orphan disease and orphan drug [EB/OL] .2009. Available from: http://www.kce.fgov.be.
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  • 10Eline Picavet, David Cassiman, Steven Simoens. Reimbursement of orphan drugs in Belgium: what (else) matters? [J] .Orphanet Journal of Rare Diseases,2014, 9: 2-19.

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