Emery J C Herbert, Zwicker Jennifer D
1 Department of Economics, Policy Studies Centre, University of New Brunswick, Fredericton, New Brunswick, Canada.
2 The School of Public Policy, University of Calgary, Calgary, Alberta, Canada.
Healthc Manage Forum. 2017 Jul;30(4):197-199. doi: 10.1177/0840470417696709. Epub 2017 Jun 5.
For new technology and innovation such as precision medicine to become part of the solution for the fiscal sustainability of Canadian Medicare, decision-makers need to change how services are priced rather than trying to restrain emerging technologies like precision medicine for short-term cost savings. If provincial public payers shift their thinking to be public purchasers, value considerations would direct reform of the reimbursement system to have prices that adjust with technologically driven productivity gains. This strategic shift in thinking is necessary if Canadians are to benefit from the promised benefits of innovations like precision medicine.
为了使诸如精准医疗这样的新技术和创新成为加拿大医疗保险财政可持续性解决方案的一部分,决策者需要改变服务定价方式,而不是试图为了短期节省成本而限制像精准医疗这样的新兴技术。如果省级公共支付方将思维转变为公共采购方,价值考量将引导报销系统改革,使价格随着技术驱动的生产率提高而调整。如果加拿大人要从精准医疗等创新所带来的预期益处中受益,这种思维上的战略转变是必要的。