国家医保局与79家医院签约，开展真实世界医保综合价值评价试点

Core Viewpoint - The National Healthcare Security Administration (NHSA) has signed agreements with 79 hospitals to initiate a pilot program for real-world comprehensive value assessment of medical insurance, aiming to evaluate the effectiveness, safety, and economic value of pharmaceutical products post-market [1] Group 1: Real-World Research and Evaluation - Real-world research refers to the assessment of the effectiveness, safety, and economic value of medical products based on data generated from daily clinical practices [1] - The NHSA acknowledges that while a dynamic adjustment mechanism for the medical insurance catalog is in place, challenges remain in decision-making due to the idealized conditions of pre-market clinical trials [1][6] - The evaluation will incorporate patient experiences and satisfaction, addressing the discrepancies between clinical trial populations and the broader patient population [3] Group 2: Data Collection and Analysis - Comprehensive data collection will include patient demographics, treatment plans, clinical outcomes, and adverse effects of medications [5] - Real-world data can reveal complexities and uncertainties, such as the actual incidence of side effects that may differ from clinical trial results [8] - The use of real-world data will enable clearer insights into which medications genuinely improve patient quality of life and which medical services offer better cost-effectiveness [8] Group 3: Implications for Healthcare Funding - The real-world comprehensive value assessment is expected to enhance the efficiency of healthcare fund allocation, allowing for the identification and exclusion of high-cost, low-efficacy drugs [10] - This approach aims to create a more patient-centered healthcare system by prioritizing innovative technologies and services that meet actual patient needs [10]