药品外部参考定价的参考篮子与间接参考研究
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篇名: 药品外部参考定价的参考篮子与间接参考研究
TITLE:
摘要: 目的:对药品外部参考定价国家(地区)的参考篮子及间接参考进行研究,以为我国外部参考定价制度建设提供依据。方法:收集48个国家(地区)的外部参考篮子资料,采用t检验和Pearson分析对直接参考篮子和间接参考篮子的规模大小、高收入国家(地区)比例、同地域国家(地区)比例等情况进行描述、比较与相关性分析;同时,计算重复参考比例与间接参考次数。结果:直接参考篮子平均规模12个,以高收入国家为主。除欧洲国家外,其他国家(地区)参考同地域国家(地区)比例平均约为20%。间接参考篮子的国家(地区)个数主要为20~35个。间接参考篮子的人均国民收入低于直接参考篮子,且间接参考篮子规模扩大与直接参考篮子内高收入国家(地区)数量存在一定相关,平均重复参考比例为88.5%,平均间接参考次数为4.5次。结论:目前药品外部参考定价国家(地区)的参考篮子仍以高收入国家(地区)为主,且普遍存在间接参考现象。在构建外部参考篮子时,应注意间接参考的规模扩大和重复参考等问题。
ABSTRACT: OBJECTIVE: To provide reference for the establishment of China’s external reference pricing system for pharmaceuticals by studying on national (local) reference basket and indirect reference. METHODS: The information for the external reference baskets of 48 countries (regions) were collected from the literatures, t-test and Pearson analysis were performed for the description, comparison and correlation analysis of direct and indirect reference baskets in terms of size, rate of high-income countries (regions), rate of countries (regions) in the same geography, etc; meanwhile, the rate of repeated reference and quantitative index of indirect reference were calculated. RESULTS: The average size of direct reference baskets was 12, in which high-income countries (regions) formed the lion’s share. Except for European countries, countries (regions) from the same region accounted for 20% of the reference basket size. The size of most indirect reference baskets were within the range of 20-35. The national income per capita of the indirect reference basket was lower than that of direct reference basket. The increase of the indirect reference basket size was modestly correlated with the proportion of high-income countries (regions) in the direct reference basket. The average rate of repeated reference was 88.5% and the average indirect reference times was 4.5 times. CONCLUSIONS: Main proportion of reference basket were high-income ones. Indirect reference was very common. Effects of the increase of indirect reference basket size as well as the repeated reference might be a concern of China on framing external reference basket.
期刊: 2016年第27卷第31期
作者: 莫雅妮,钱军程,韩玉哲,徐向东,孟群,刘宝
AUTHORS: MO Yani,QIAN Juncheng,HAN Yuzhe,XU Xiangdong,MENG Qun,LIU Bao
关键字: 药品定价;外部参考定价;参考篮子;间接参考
KEYWORDS: Pharmaceutical pricing; External reference pricing; Reference basket; Indirect reference
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