■本文总结了一个医疗保健专家论坛的结果,学术界代表,以及来自新兴和成熟市场国家的公共机构官员进行基于价值的医疗保健(VBHC)和健康技术评估(HTA)。专家的发言提供了对当前发展和挑战的见解,其次是互动式圆桌讨论。新兴市场拥有独特的医疗保健系统,患者群体,资源限制和需求。
■每个圆桌会议都探讨了特定主题,包括HTA和现实世界证据(RWE)在医疗保健决策中的作用,生物仿制药价值评估方面的挑战,以及纳入反映新兴市场背景相关规范的非价格标准,如医疗保健决策中价值的多面性,强调利益相关者的观点和系统的复杂性。
■RWE在理解生物类似药价值识别和决策过程中变得非常重要,深入了解其应用和挑战。为在药品采购中利用多标准决策分析(MCDA)提供了建议,特别是非专利药品,强调全面评估框架和坚持基于价值的原则的重要性。总体调查结果表明了行业之间合作的途径,学术界,和公共机构解决执行障碍,促进公平,高效,以及通过公私伙伴关系在新兴市场建立高质量的医疗保健系统,联合能力建设和培训倡议,和知识转移。
UNASSIGNED: This paper summarizes the results from a forum of healthcare experts, academia representatives, and public agency officials from emerging and established market countries on Value-Based Healthcare (VBHC) and Health Technology Assessment (HTA). Presentations from experts provided insights into current developments and challenges, followed by interactive roundtable discussions. Emerging markets have unique healthcare systems, patient populations, resource constraints and needs.
UNASSIGNED: Each roundtable explored specific topics including the role of HTA and Real-world evidence (RWE) in healthcare decision-making, challenges in biosimilar value assessment and incorporating non-price criteria reflecting context-related specifications of emerging markets such as the multifaceted nature of value in healthcare decision-making, emphasizing stakeholder perspectives and system complexities.
UNASSIGNED: RWE emerged as important in understanding biosimilar value recognition and decision-making processes, with insights into its applications and challenges. Recommendations were provided for utilizing Multi-Criteria Decision Analysis (MCDA) in pharmaceutical procurement, particularly for off-patent medicines, underscoring the importance of comprehensive evaluation frameworks and adherence to value-based principles. Overall findings suggest avenues for collaboration between industry, academia, and public agencies to address implementation barriers and promote equitable, efficient, and high-quality healthcare systems in emerging markets through public-private partnerships, joint capacity building and training initiatives, and knowledge transfers.