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How can we improve patients access to new drugs under uncertainties? : South Koreas experience with risk sharing arrangements

DC Field Value Language
dc.contributor.authorLee, Boram-
dc.contributor.authorBae, Eun-Young-
dc.contributor.authorBae, SeungJin-
dc.contributor.authorChoi, Hyun-Jin-
dc.contributor.authorSon, Kyung-Bok-
dc.contributor.authorLee, Young-Sil-
dc.contributor.authorJang, Suhyun-
dc.contributor.authorLee, Tae-Jin-
dc.date.accessioned2021-10-25T02:21:29Z-
dc.date.available2021-10-25T11:24:33Z-
dc.date.issued2021-09-14-
dc.identifier.citationBMC Health Services Research. 2021 Sep 14;21(1):967ko_KR
dc.identifier.issn1472-6963-
dc.identifier.urihttps://hdl.handle.net/10371/174992-
dc.description.abstractBackground
New drugs including cancer drugs and orphan drugs are becoming increasingly more expensive. Risk sharing arrangements (RSAs) could manage the risk based on both financial impact and the health outcome of new drugs if reimbursed. To improve patients access to new drugs under uncertainties, many developed countries have adopted RSAs. In this study, we aimed to understand the effects of RSAs in South Korea on patients access.

Methods
We reviewed current status of RSA drugs in South Korea. The number of appraisals and time gap between market approval and reimbursement per RSA drug were considered to quantify improvement of patients access as they showed how rapidly decisions on reimbursement of RSA drugs were derived. Then, we applied a comparative analysis to determine whether the RSA drugs in South Korea were reimbursed in the UK, Italy, and Australia. Most data for this study were obtained from websites of the governmental department/agencies responsible for appraisal of drug reimbursement in each country. And literatures related to RSAs were investigated as well.

Results
The eligibility for Korean RSAs had two key components - drugs for cancer and rare diseases and not having other alternative treatments. As of the first half of 2019, there were 39 RSA drugs reimbursed in South Korea, the majority of which were financial-based schemes. Refund and expenditure cap were the representative types (89.7%). After introduction of RSAs, the time gap and number of appraisals were decreased. Based on the indications of RSA drugs, the level of drug coverage in South Korea was found lower than Italy, similar to the UK, and higher than Australia.

Conclusions
RSAs in South Korea significantly enhanced patients access to new drugs and led to the alleviation of patients out-of-pocket expenses. The drug coverage of South Korea had a level comparable to that of other countries. This study provides implications for countries that have a dual mission of containing pharmaceutical expenditure and improving access to new drugs.
ko_KR
dc.language.isoenko_KR
dc.publisherBMCko_KR
dc.subjectCost-effectiveness-
dc.subjectDrug reimbursement-
dc.subjectEconomic evaluation-
dc.subjectAccess to new drugs-
dc.subjectRisk sharing arrangement-
dc.subjectSouth Korea-
dc.titleHow can we improve patients access to new drugs under uncertainties? : South Koreas experience with risk sharing arrangementsko_KR
dc.typeArticleko_KR
dc.contributor.AlternativeAuthor이보람-
dc.contributor.AlternativeAuthor배은영-
dc.contributor.AlternativeAuthor배성진-
dc.contributor.AlternativeAuthor최현진-
dc.contributor.AlternativeAuthor손경복-
dc.contributor.AlternativeAuthor이영실-
dc.contributor.AlternativeAuthor장수현-
dc.contributor.AlternativeAuthor이태진-
dc.identifier.doihttps://doi.org/10.1186/s12913-021-06919-x-
dc.citation.journaltitleBMC Health Services Researchko_KR
dc.language.rfc3066en-
dc.rights.holderThe Author(s)-
dc.date.updated2021-09-19T03:09:43Z-
dc.citation.number1ko_KR
dc.citation.startpage967ko_KR
dc.citation.volume21ko_KR
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