国内外心力衰竭治疗药物经济学研究的差异比较
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| 篇名: | 国内外心力衰竭治疗药物经济学研究的差异比较 |
| TITLE: | Comparison of the differences of domestic and foreign pharmacoeconomic research on heart failure medications |
| 摘要: | 目的 为我国心力衰竭治疗药物经济学研究接轨国际提供依据。方法定性比较国内外心力衰竭药物经济学研究在研究方法与模型应用、研究视角与终点指标、数据来源与参数选择、政策转化与实践影响四方面的差异。结果与结论国外研究多采用长期动态模型、全社会视角、真实世界数据融合并直接支撑医保决策;国内研究多偏短期简化分析、采用卫生体系单一视角、依赖文献数据且多限于个体用药建议。建议国内研究向长周期动态建模转型,依托大数据构建本土专病效用数据库,建立与医保挂钩的闭环机制,并深化多学科协作,以优化医疗资源配置。 |
| ABSTRACT: | OBJECTIVE To provide a basis for aligning Chinese pharmacoeconomic research on heart failure (HF) with international standards. METHODS A qualitative comparison o f domestic and global HF pharmacoeconomic studies was conducted across four dimensions: research methods and model application, research perspectives and endpoints, data sources and parameter selection, and policy translation and practical impact. RESULTS & CONCLUSIONS Global studies predominantly utilize long-term dynamic models, societal perspectives, real-world data integration, and directly inform reimbursement decisions. Conversely, domestic research often relies on short-term simplified models, a single healthcare system perspectives, literature-derived data, and individual medicine recommendations. Future domestic studies should transition to long-term dynamic modeling, develop localized disease-specific utility databases via big data, establish reimbursement-linked closed-loop mechanisms, and foster multidisciplinary collaboration to optimize healthcare resource allocation. |
| 期刊: | 2026年第37卷第05期 |
| 作者: | 申锐加;杨晓彧;孙德锋;李伟娅;赵振营 |
| AUTHORS: | SHEN Ruijia,YANG Xiaoyu,SUN Defeng,LI Weiya,ZHAO Zhenying |
| 关键字: | 心力衰竭治疗药物;药物经济学研究;国际经验;成本-效果分析;成本-效用分析;真实世界数据;本土化;医保决策 |
| KEYWORDS: | heart failure medications; pharmacoeconomic research; international experience; cost-effectiveness analysis; cost- |
| 阅读数: | 2 次 |
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