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《平价医疗法案》时代的医疗设备创新:魅力不再。

Medical Device Innovation in the Era of the Affordable Care Act: The End of Sexy.

作者信息

Mattke Soeren, Liu Hangsheng, Orr Patrick

出版信息

Rand Health Q. 2016 Jun 20;6(1):9.

PMID:28083437
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5158273/
Abstract

In this article, the authors explore why medical device innovation has traditionally been geared so thoroughly toward improving performance, with little regard to cost. They argue that the changing incentives in the health care sector and the move to value-based payment models, accelerated by the implementation of the Affordable Care Act, will force device manufacturers to redirect investments from the spectacular toward the prudent, which they dub "the end of sexy." The authors explore consequences for manufacturers, investors, and policymakers.

摘要

在本文中,作者探讨了为何医疗设备创新传统上一直如此彻底地致力于提高性能,而很少考虑成本。他们认为,医疗保健领域不断变化的激励措施以及向基于价值的支付模式的转变(因《平价医疗法案》的实施而加速)将迫使设备制造商将投资从追求引人注目的产品转向更为审慎的产品,他们将此称为“性感时代的终结”。作者探讨了这一转变对制造商、投资者和政策制定者的影响。

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Medical Device Innovation in the Era of the Affordable Care Act: The End of Sexy.《平价医疗法案》时代的医疗设备创新:魅力不再。
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2
States Encouraging Value-Based Payment: Lessons From CMS's State Innovation Models Initiative.鼓励基于价值的支付的州:CMS 的州创新模式倡议的经验教训。
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Private investment in hospitals: a comparison of three healthcare systems and possible implications for real estate strategies.医院的私人投资:三种医疗保健系统的比较及对房地产策略的可能影响。
HERD. 2010 Spring;3(3):70-86. doi: 10.1177/193758671000300308.
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Payment incentives and integrated care delivery: levers for health system reform and cost containment.支付激励与整合式医疗服务提供:卫生系统改革与成本控制的杠杆
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引用本文的文献

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Nurturing Societal Values in and Through Health Innovations Comment on "What Health System Challenges Should Responsible Innovation in Health Address?".培养社会价值观与健康创新——评“负责任的健康创新应解决哪些卫生系统挑战?”
Int J Health Policy Manag. 2019 Oct 1;8(10):613-615. doi: 10.15171/ijhpm.2019.57.
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Calling for the next WHO Global Health Initiative: the use of disruptive innovation to meet the health care needs of displaced populations.呼吁下一次世界卫生组织全球卫生倡议:利用颠覆性创新满足流离失所人群的医疗保健需求。
J Glob Health. 2018 Jun;8(1):010303. doi: 10.7189/jogh.08.010303.

本文引用的文献

1
Medicines as a Service: A New Commercial Model for Big Pharma in the Postblockbuster World.药品即服务:后重磅炸弹药物时代大型制药公司的新商业模式。
Rand Health Q. 2012 Jun 1;2(2):13. eCollection 2012 Summer.
2
Setting value-based payment goals--HHS efforts to improve U.S. health care.设定基于价值的支付目标——HHS 改善美国医疗保健的努力。
N Engl J Med. 2015 Mar 5;372(10):897-9. doi: 10.1056/NEJMp1500445. Epub 2015 Jan 26.
3
Hospital industry consolidation--still more to come?医院行业合并——未来还有更多?
N Engl J Med. 2014 Jan 16;370(3):198-9. doi: 10.1056/NEJMp1313948. Epub 2013 Dec 11.
4
A model for 'reverse innovation' in health care.医疗保健领域的“反向创新”模式。
Global Health. 2013 Aug 30;9:40. doi: 10.1186/1744-8603-9-40.
5
A randomised controlled trial of the effectiveness of soft silicone multi-layered foam dressings in the prevention of sacral and heel pressure ulcers in trauma and critically ill patients: the border trial.一项关于软质硅胶多层泡沫敷料预防创伤和重症患者骶部及足跟压疮有效性的随机对照试验:边界试验
Int Wound J. 2015 Jun;12(3):302-8. doi: 10.1111/iwj.12101. Epub 2013 May 27.
6
Much cheaper, almost as good: decrementally cost-effective medical innovation.便宜得多,几乎同样有效:递减成本效益的医学创新。
Ann Intern Med. 2009 Nov 3;151(9):662-7. doi: 10.7326/0003-4819-151-9-200911030-00011.
7
Comparative effectiveness of minimally invasive vs open radical prostatectomy.微创与开放性根治性前列腺切除术的比较疗效
JAMA. 2009 Oct 14;302(14):1557-64. doi: 10.1001/jama.2009.1451.