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    2020年关于优化中国创新药品可及性的思考与建议

    摘要

    创新药品可及性是世界各国医疗卫生保健制度面临的共性难题。我国医疗保障部门现已构建常态化的医保目录准入谈判机制来实现创新药的医保纳入和支付管理。有部分进入医保的创新药品存在“入院难”现象,造成医保谈判等相关政策红利未能在全民释放。本文基于我国创新药品医保准入的定位、社会经济发展以及医疗保障制度的实际,解析创新药品“入院”阻滞的客观原因,提出优化创新药品可及性的相关建议。

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    Abstract

    The accessibility of innovative drugs is a common challenge for the medical and healthcare system around the world. Presently,China has achieved the payment management of innovative drugs through the periodic negotiation of accessing a catalog of medicines covered by the national medical insurance system. Some of the innovative drugs that have included in the catalog of medicines covered by national health insurance are difficult to be admitted to hospitals,which results in a problem that the policy of health insurance negotiation and other related policies are not benefited all people. Based on the positioning of national medical insurance inclusion of innovative drugs,social and economic development,and the reality of the medical insurance system in China,this paper analyzes the objective reasons for the hinder of “admission” of innovative drugs to hospitals and gives relevant suggestions for optimizing the accessibility of innovative drugs.

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    作者简介
    陈昊:陈昊,华中科技大学医药卫生管理学院教授。
    张欲晓:张欲晓,武汉大学健康学院教授。
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