Stratified medicine (SM), as opposed to empirical medicine, is the practice of using biomarkers or diagnostic tests to guide the choice of therapeutic treatments. The link between the diagnostic test and the therapy provides new opportunities for value creation and may strengthen the value proposition to pricing and reimbursement authorities. However, SM provides new challenges for the value assessment process, in particular health technology assessment (HTA) and pricing and reimbursement (P&R) decisions. Although health economics (HE) should be relevant for all stakeholders, not all stakeholders are comfortable with analysis/interpretation of economic data relevant to SM interventions as this approach is still in an early/emergent stage in most markets. This article addresses how different stakeholders are using health economic data in the overall value of information analysis to inform prioritization and reimbursement of SM interventions. Findings of an expert discussion outlines key challenges affecting various stakeholders when applying health economic data in the healthcare decision-making process for SM interventions.

译文

:分层医学(SM)与经验医学相反,是使用生物标志物或诊断测试来指导治疗方法选择的实践。诊断测试和疗法之间的联系为价值创造提供了新的机会,并可能加强对定价和报销当局的价值主张。但是,SM给价值评估流程带来了新的挑战,特别是卫生技术评估(HTA)和定价与报销(P&R)决策。尽管卫生经济学(HE)应该与所有利益相关者都相关,但并非所有利益相关者都对与SM干预相关的经济数据进行分析/解释感到满意,因为这种方法在大多数市场中仍处于早期/新兴阶段。本文介绍了不同的利益相关者如何在信息分析的总体价值中使用卫生经济数据来指导SM干预措施的优先顺序和补偿。专家讨论的结果概述了在SM决策的医疗保健决策过程中应用健康经济数据时,影响各个利益相关者的主要挑战。

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