https://scholars.lib.ntu.edu.tw/handle/123456789/351184
標題: | Evidence-based decision-making in Asia-Pacific with rapidly changing health-care systems: Thailand, South Korea, and Taiwan | 作者: | MING-CHIN YANG Jirawattanapisal, Thidaporn Kingkaew, Pritaporn Lee, Tae-Jin Yang, Ming-Chin |
關鍵字: | Economic analysis; Economic evaluation; Economic outcome; Health economics; Health-care decision makers | 公開日期: | 2009 | 卷: | 12 | 期: | SUPPL. 3 | 來源出版物: | Value in Health | 摘要: | Objective: To review the use of evidence in the market approval process, reimbursement, and price control mechanisms for medicines and medical devices in Thailand, South Korea, and Taiwan. Methods: Documentary reviews supplemented by interviews with senior policymakers of relevant public health authorities. Results: Drug regulatory authorities play a vital role in the market authorization process by considering evidence on safety, efficacy and quality for new medicines, and bio-equivalence for new generic products of previously spatented medicines. For the formulation of the reimbursement list, all three cases applied evidence on cost-effectiveness, to various degrees, with clear institutional structure, capacity, and functions. Only Thailand has specified an explicit benchmark on cost-effectiveness for inclusion in the reimbursement list. For price control, all have established mechanisms and processes for price negotiation. These mechanisms apply evidence on cost structure and relative prices in other countries to ensure affordable prices, especially with the patented drug industry. Thailand's universal insurance schemes use a capitation payment model which proves effective in implicit price control. To increase access to essential medicines that have patents on and high price, Thailand applied Trade-Related Aspects of Intellectual Property flexibilities; "government use of patent," for public noncommercial purposes to seven essential drugs in 2006 to 2008. Conclusion: Rapidly increasing health expenditure and universal health insurance systems have created greater requirement for proof of "value for money" in the approval and funding of new medical technologies. All settings have established clear mechanisms to apply appropriate evidence in the processes of market approval, reimbursement, and pricing control. ? 2009, International Society for Pharmacoeconomics and Outcomes Research (ISPOR). |
URI: | http://www.scopus.com/inward/record.url?eid=2-s2.0-72149102681&partnerID=MN8TOARS http://scholars.lib.ntu.edu.tw/handle/123456789/351184 |
DOI: | 10.1111/j.1524-4733.2009.00620.x | SDG/關鍵字: | antibiotic agent; antidiabetic agent; antihypertensive agent; clopidogrel; disinfectant agent; docetaxel; efavirenz; erlotinib; essential drug; generic drug; imatinib; letrozole; lopinavir plus ritonavir; new drug; non prescription drug; radioactive material; vaccine; bioequivalence; decision making; drug approval; drug cost; drug efficacy; drug quality; drug safety; evidence based practice; health care system; human; priority journal; reimbursement; review; South Korea; Taiwan; Thailand |
顯示於: | 公共衛生學系 |
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