实施买赠策略的抗癌药品基于生存数据的价格折算新方法
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篇名: 实施买赠策略的抗癌药品基于生存数据的价格折算新方法
TITLE: New Price Conversion Method of Anti-cancer Drugs under the Buy-and-gift Strategy Based on Survival Data
摘要: 目的:在医保准入过程中,为实施买赠策略的抗癌药品谈判“天花板价”的确定、药物经济学测算及预算影响分析测算提供更准确的测算方法。方法:采用模型法及文献研究法,在了解现有实施买赠策略的抗癌药品价格折算方法的基础上,探究结合不同疾病状态下患者生存数据的药品价格折算新方法,并通过示例解析该算法的核心思路和计算过程。结果:新算法结合了不同疾病状态下患者的生存数据(即无进展生存期相关数据),其计算过程主要包括获取单位周期实际用药时长及理论用药量、确定买赠抗癌药品援助模式并进行实际价格的折算,并在一步赠药模式、周期循环赠药模式、优惠分期赠药模式下分别进行了模拟计算。结论:基于生存数据对实施买赠策略的抗癌药品进行价格折算,弥补了现有测算方法难以反映抗癌药品实际价格的不足,可为医保准入提供测算抗癌药品实际参考价格的新计算方法。
ABSTRACT: OBJECTIVE:To provid e a more accurate calculation method for the determination of drug negotiation base price , pharmacoeconomic calculation and budget impact analysis and calculation in the process of medical insurance access with buy-and-gift strategy. METHODS :By the model method and literature research ,understanding the existing price conversion methods of the anti-cancer drugs that currently implement the buy-and-gift strategy ,a new method of drug price conversion was explored on the basis of the survival data of patients in different disease states ,and the core idea and calculation process of the algorithm were analyzed by an example. RESULTS :The new algorithm was combined with the survival data of patients under different disease states. Its calculation process mainly included obtaining the actual duration of medication use per unit cycle and the theoretical amount of medication ,determining the aid model for anti-cancer drugs under buy-and-gift strategy ,converting the actual price. The simulation calculation was carried out under the one-step drug donation mode ,periodic drug donation mode and preferential installment drug donation mode. CONCLUSIONS :The conversion method of anti-cancer drug price under buy-and-gift strategy based on survival data makes up for the shortcoming that the existing calculation methods are difficult to reflect the actual price of anti-cancer drugs ,and provides a new calculation method for calculating the actual reference price of anti-cancer drugs for medical insurance access.
期刊: 2021年第32卷第17期
作者: 李高洁,陈磊,席晓宇
AUTHORS: LI Gaojie ,CHEN Lei,XI Xiaoyu
关键字: 买赠策略;抗癌药品;生存数据;援助模式;药品价格折算;算法
KEYWORDS: Buy-and-gift strategy ;Anti-cancer drugs ;Survival data ;Aid model ;Drug price conversion ;Algorithm
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