La del valore del farmaco: Quali scenari futuri? G DSc II · Economics isEconomics is... “ The...
Transcript of La del valore del farmaco: Quali scenari futuri? G DSc II · Economics isEconomics is... “ The...
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La misurazione del valore del farmaco:
Quali scenari futuri?
Lorenzo G Mantovani, DSc
CIRFF, Università degli Studi di Napoli Federico II
CESP, Università degli Studi di Milano Bicocca
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Drug valueDrug value
Gianni Benzi 1931-2006
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Economics isEconomics isEconomics is... Economics is... ““... ... study of how societies use scarce resources to
produce valuable commodities and distributepthem among different people””
P l AP l A S lS l N b l L t 1970N b l L t 1970Paul A Paul A SamuelsonSamuelson, Nobel Laureate 1970, Nobel Laureate 1970
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FarmacoFarmaco
• Valore per la salute dei pazienti
• Valore come settore industriale
• Valore per la competitivitàValore per la competitività
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FarmacoFarmaco
• Valore per la salute dei pazienti
• Valore come settore industriale
• Valore per la competitivitàValore per la competitività
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Che cosa conosciamoChe cosa conosciamo
• Qualità
• Sicurezza (teorica)Sicurezza (teorica)
• Efficacia (teorica)
• “Prezzo”
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Che cosa vorremmo conoscere?Che cosa vorremmo conoscere?
• Qualità
• Sicurezza (reale/pratica)Sicurezza (reale/pratica)
• Efficacia (reale/pratica)
• Utilizzo (Da chi? Per chi?)
• ValoreValore
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Che cosa vorremmo conoscere?Che cosa vorremmo conoscere?
• Qualità
• Sicurezza (reale/pratica)Sicurezza (reale/pratica)
• Efficacia (reale/pratica)
• Utilizzo (Da chi? Per chi?)
• ValoreValore
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J of Hypertension 2005; 23: 2093J of Hypertension 2005; 23: 2093--2100.2100.
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La misurazione del valore di un farmacoLa misurazione del valore di un farmaco
• I DB costituiscono delle miniere di conoscenza
• I DB amministrativi forniscono informazioni su ciòI DB amministrativi forniscono informazioni su ciò che accade di clinicamente ed economicamente rilevanterilevante
• I DB clinici permettono di indagare le determinanti “cliniche” di ciò che accade
• Il futuro è far dialogare i DB clinici ed amministrativi• Il futuro è far dialogare i DB clinici ed amministrativi
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La misurazione del valore di un farmacoLa misurazione del valore di un farmaco
• I DB costituiscono delle miniere di conoscenza
• I DB amministrativi forniscono informazioni su ciòI DB amministrativi forniscono informazioni su ciò che accade di clinicamente ed economicamente rilevanterilevante
• I DB clinici permettono di indagare le determinanti “cliniche” di ciò che accade
• Il futuro è far dialogare i DB clinici ed amministrativi• Il futuro è far dialogare i DB clinici ed amministrativi
• Il futuro è già iniziato…
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Economics isEconomics isEconomics is... Economics is...
“ The decision maker has a choice between optimal The decision maker has a choice between optimal decisions for an imaginary simplified world or decisions that are "good eno gh that satisfice”decisions that are "good enough, that satisfice”, for a world approximating the complex real one more closely.”
Herbert A Simon, Nobel Laureate 1978Herbert A Simon, Nobel Laureate 1978