药品经济价值支付意愿测算方法简介  

An Introduction of the Method of Calculating the Willingness-to-Pay of Drug Economic Value

作　　者：彭倩 唐文熙[1,2] PENG Qian;TANG Wen-xi(School of International Pharmaceutical Business,China Pharmaceutical University,Nanjing,211198,China;不详)

机构地区：[1]中国药科大学国际医药商学院,南京211198 [2]中国药科大学药物经济学评价研究中心,南京211198

出　　处：《中国卫生经济》2021年第6期45-49,共5页Chinese Health Economics

基　　金：中国药科大学“双一流”建设研究生教育教学改革研究项目(3151920118);国家级大学生创新创业训练计划(201910316179)。

摘　　要：目的:成本效果阈值是医保目录准入中的一个重要参考标准。通过梳理国内外成本效果阈值测算方法,为我国建立适合国情的成本效果阈值,缓解目前医保资金紧张的压力提供借鉴意义。方法:从固定预算的供给侧和考虑社会偏好的需求侧对成本效果阈值测算方法学之间的理论差异、优劣势等进行介绍,并讨论在罕见病、慢性病以及中低收入国家等一些特殊阈值的确定时要考虑的因素。结果:不同的测算方法之间存在WTP估值差异。结论:选择适合我国国情的成本效果测算方法学可从设立阈值和提供固定预算两个角度考虑,并兼顾特殊阈值确定。Objective:The cost-effectiveness threshold is an important reference standard in the access to the medical insurance catalog.It combs the cost-effectiveness threshold measurement methods at home and abroad,and provides references for China to establish a cost-effectiveness threshold suitable for national conditions and relieve the current pressure of medical insurance funds.Methods:From the supply side of a fixed budget and the demand side that considers social preferences,the theoretical differences,advantages and disadvantages of the cost-effectiveness threshold measurement methodology are introduced,and some special thresholds for rare diseases,chronic diseases,and low-and middle-income countries are discussed.Results:There are differences in WTP estimates in different measurement methods.Conclusion:Choosing a cost-effectiveness measurement methodology that suits China’s national conditions can be considered from the perspectives of establishing a threshold and providing a fixed budget,and taking into account the determination of special thresholds.

关 键 词：成本效果阈值 意愿支付 测算方法 质量调整生命年 固定预算 需求偏好 

分 类 号：R1-9[医药卫生—公共卫生与预防医学] R956