Emerging Role of Pharmacoeconomics in the Research and Development Decision-Making Process
作者:Joseph A. Dimasi、Erol Caglarcan、Maria Wood-Armany
DOI:10.2165/00019053-200119070-00004
日期:——
Objectives: This study examines the organisational structure of pharmacoeconomics departments in major pharmaceutical and biotechnology companies, the impediments to optimal use of pharmacoeconomic evaluations by companies and the integration of pharmacoeconomic analysis with research and development decision making. Data and Methods: The heads of the pharmacoeconomics departments of 40 companies were surveyed on the structure of pharmacoeconomics departments in their companies, the roles that pharmacoeconomic analyses are playing in the new drug development decision-making process, and the initiation of pharmacoeconomic studies during the development process for a random sample of their companies’ investigational new drugs. Results: 45 department heads from 31 parent companies responded to the survey. The pharmacoeconomics function in pharmaceutical and biotechnology companies is relatively new and growing rapidly. Most pharmacoeconomics department heads preferred a different reporting structure than what they currently have and indicated that the strategic role that pharmacoeconomics can play is not well understood within the organisation. Pharmacoeconomic analyses have been increasingly initiated early in clinical development and have been a factor in clinical trial design and in key decisions made during the development process. Conclusions: Given the continued emphasis on containing healthcare costs worldwide, demand will increase for evidence that drugs provide good value for the money spent on them. Companies will likely respond not only with more economic evaluations for purchasers, but also with greater use of pharmacoeconomics early in the development process to aid in rationalising key research and development decisions, and in guiding final pricing decisions and reimbursement planning, thereby improving resource allocations.
目的:本研究考察了大型制药和生物技术公司药物经济学部门的组织结构,公司对药物经济评估最优使用的障碍以及药物经济学分析与研发决策的整合情况。数据和方法:对40家公司的药物经济学部门负责人进行了调查,内容涉及他们公司药物经济学部门的结构,药物经济学分析在新药研发决策过程中的作用,以及在公司研发的新药中随机抽样进行药物经济学研究的启动情况。结果:31家母公司的45名药物经济学部门负责人对问卷进行了回应。制药和生物技术公司的药物经济学职能相对较新且正在迅速发展。大多数药物经济学部门负责人倾向于与他们目前不同的报告结构,并表明药物经济学在组织内部可以发挥的战略作用未被充分理解。药物经济学分析越来越多地在临床开发的早期阶段启动,并在临床试验设计和开发过程中的关键决策中起到了作用。结论:鉴于全球范围内对控制医疗成本的持续强调,对药物提供良好价值证据的需求将会增加。公司不仅会针对采购商进行更多的经济评估,还可能会在开发过程的早期更广泛地使用药物经济学来协助制定关键的研发决策,并指导最终的定价决策和报销计划,从而优化资源分配。