 |
English
|
正體中文
|
简体中文
|
Post-Print筆數 : 27 |
Items with full text/Total items : 109952/140887 (78%)
Visitors : 46298818
Online Users : 1467
|
|
|
Loading...
|
Please use this identifier to cite or link to this item:
https://nccur.lib.nccu.edu.tw/handle/140.119/45140
|
| Title: | 我國藥品採 reference price 之模擬研究 |
| Authors: | 周麗芳;陳曾基;章樂綺 |
| Contributors: | 中央健康保險局
台北榮民總醫院;國立政治大學財政系 |
| Keywords: | 參考價格;藥品;健康保險;reference price;pharmaceuticals;health insurance |
| Date: | 2000 |
| Issue Date: | 2010-10-05 15:39:39 (UTC+8) |
| Abstract: | 研究目的： 詳述相關國家實施藥品reference price的情形；模擬分析我國藥品reference price的計算方式，並提出關於我國採用藥品reference price方案的建議。
研究方法： 本研究分為制度面與實證面兩大部份。制度面將介紹國外reference price實施情形，分析方法則以整理描述為主。實證面則初步建立我國reference price的模型，並依據實際健保用藥價量資料進行模擬分析。
主要發現： 制度面詳述國外五個國家（德國、加拿大英屬哥倫比亞省、紐西蘭、義大利、瑞典）的相關制度，特別是德國的therapeutic reference pricing。實證面則依據國家衛生研究院全民健康保險學術研究資料庫抽樣檔（CD1997S20與OO1997S20），以Nifedipine、鈣離子阻斷劑分別當成第一、二級reference price藥品的例子，討論我國reference price的可能模型，並進行模擬分析。囿於本土實況，可行模型的種類與計算方式較為單純，其中利弊互現。
結論及建議： 實施藥品reference price制度應有兩大前提要件：（一）放寬保險對象不得自負差額的限制規定；（二）統一藥品價格，或者透過與藥界的協定，保證每一種藥品的差額負擔額度全國一致。此外，在行政作業程序上，還需注意：藥品的歸類與分組、reference price基準的決定、實施優先次序、配套措施、監控變化、自動化程序、以及正常立法程序等事項。
Background and Purpose: The "reference pricing" within the health insurance system generally means the reimbursement of a class of pharmacologically or therapeutically equivalent drugs according to the price of a single drug or a calculated (reference) price in the group. The insured must pay the difference between the actual market price and the reference price of a drug he receives. To set reference prices not only involves the cost shifting between the insurer and the insured, but also may interfere with the dynamic development of pharmaceutical industry. The study is to collect relevant literature of reference pricing around the world, propose a suitable plan for Taiwan`s National Health Insurance, and conduct a simulation study.
Methods: The study consists of two parts. The institutional part describes the situation of reference pricing in other countries. The empirical part attempts to construct models of calculating reference prices and to conduct a simulation study on base of to the local data.
Results: The institutional part describes the situations in Germany, Canada (British Columbia), New Zealand, Italy, and Sweden, esp. that in Germany in full details. The empirical part takes the Nifedipine and calcium channel antagonists as examples, and utilizes the data from the research databases of the National Health Research Institutes (CD1997S20 and OO1997S20). The possible models of calculating reference prices are proposed and the simulation study conducted.
Conclusions and Recommendations: There are two premises of implementing a system of the pharmaceutical reference pricing: (1) deregulating the some limitation of cost sharing, and (2) unifying the drug prices. Besides, attention should be pay to the grouping of pharmaceuticals, the standard of calculating the reference price, the priority of implementation, the associated measures, the monitoring mechanism, the automation procedure and the issues of legitimation. |
| Relation: | DOH88-NH-025
研究期間: 8804~8906 |
| Data Type: | report |
| Appears in Collections: | [財政學系] 研究報告
|
Files in This Item:
There are no files associated with this item.
|
All items in 政大典藏 are protected by copyright, with all rights reserved.
|
著作權政策宣告 Copyright Announcement1.本網站之數位內容為國立政治大學所收錄之機構典藏，無償提供學術研究與公眾教育等公益性使用，惟仍請適度，合理使用本網站之內容，以尊重著作權人之權益。商業上之利用，則請先取得著作權人之授權。
The digital content of this website is part of National Chengchi University Institutional Repository. It provides free access to academic research and public education for non-commercial use. Please utilize it in a proper and reasonable manner and respect the rights of copyright owners. For commercial use, please obtain authorization from the copyright owner in advance.
2.本網站之製作，已盡力防止侵害著作權人之權益，如仍發現本網站之數位內容有侵害著作權人權益情事者，請權利人通知本網站維護人員(
nccur@nccu.edu.tw)，維護人員將立即採取移除該數位著作等補救措施。
NCCU Institutional Repository is made to protect the interests of copyright owners. If you believe that any material on the website infringes copyright, please contact our staff(
nccur@nccu.edu.tw). We will remove the work from the repository and investigate your claim.
