{"id":987788726,"date":"2025-02-02T10:10:37","date_gmt":"2025-02-02T09:10:37","guid":{"rendered":"https:\/\/p4h.world\/?post_type=documents&#038;p=987788726"},"modified":"2025-10-21T10:19:33","modified_gmt":"2025-10-21T09:19:33","slug":"comment-le-remboursement-des-medicaments-devrait-il-fonctionner-le-point-de-vue-des-experts-espagnols-2","status":"publish","type":"documents","link":"https:\/\/p4h.world\/fr\/documents\/comment-le-remboursement-des-medicaments-devrait-il-fonctionner-le-point-de-vue-des-experts-espagnols-2\/","title":{"rendered":"Comment le remboursement des m\u00e9dicaments devrait-il fonctionner ? Le point de vue des experts espagnols"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; admin_label=&#8221;!!! PLEASE DO NOT EDIT !!!&#8221; _builder_version=&#8221;4.16&#8243; global_colors_info=&#8221;{}&#8221;][et_pb_row admin_label=&#8221;! !! N&#039;\u00c9DITEZ PAS ! !! &#8221; _builder_version=&#8221;4.16&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;|||&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_text admin_label=&#8221;TO BE EDITED &#8211; TEXT &#8211; Click on the WHEEL icon to open the text-area where you can type your text. Add a paragraph to introduce the Document&#8221; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<div class=\"text-base my-auto mx-auto pb-10 [--thread-content-margin:--spacing(4)] thread-sm:[--thread-content-margin:--spacing(6)] thread-lg:[--thread-content-margin:--spacing(16)] px-(--thread-content-margin)\">\n<div class=\"[--thread-content-max-width:40rem] thread-lg:[--thread-content-max-width:48rem] mx-auto max-w-(--thread-content-max-width) flex-1 group\/turn-messages focus-visible:outline-hidden relative flex w-full min-w-0 flex-col agent-turn\" tabindex=\"-1\">\n<div class=\"flex max-w-full flex-col grow\">\n<div class=\"min-h-8 text-message relative flex w-full flex-col items-end gap-2 text-start break-words whitespace-normal [.text-message+&amp;]:mt-1\" dir=\"auto\" data-message-author-role=\"assistant\" data-message-id=\"95d81bda-984f-4ddc-a5d6-53d1fa417f21\" data-message-model-slug=\"gpt-5\">\n<div class=\"flex w-full flex-col gap-1 empty:hidden first:pt-[1px]\">\n<div class=\"markdown prose dark:prose-invert w-full break-words light markdown-new-styling\">\n<p data-start=\"0\" data-end=\"567\">Dans leur \u00e9tude de 2025 publi\u00e9e dans Health Economics, Policy and Law par Cambridge University Press, <strong data-start=\"99\" data-end=\"129\">Juan Carlos Rejon-Parrilla<\/strong>, <strong data-start=\"131\" data-end=\"148\">David Epstein<\/strong>, <strong data-start=\"150\" data-end=\"175\">Daniel P\u00e9rez-Troncoso<\/strong> et <strong data-start=\"181\" data-end=\"196\">Jaime Esp\u00edn<\/strong> \u00e9tudient la mani\u00e8re dont le remboursement des m\u00e9dicaments devrait \u00eatre structur\u00e9 en <a href=\"https:\/\/p4h.world\/fr\/countries\/espagne\/\">Espagne<\/a>. Si les crit\u00e8res de remboursement sont formellement \u00e9tablis dans la l\u00e9gislation, leurs d\u00e9finitions pratiques et leurs m\u00e9thodes de mesure restent souvent ambigu\u00ebs. Cette recherche comble cette lacune en recueillant les points de vue d&#8217;experts sur la mani\u00e8re dont ces crit\u00e8res devraient \u00eatre interpr\u00e9t\u00e9s et appliqu\u00e9s dans la prise de d\u00e9cision dans le monde r\u00e9el.  <\/p>\n<p data-start=\"569\" data-end=\"1147\" data-is-last-node=\"\" data-is-only-node=\"\">S&#8217;appuyant sur les r\u00e9ponses \u00e0 l&#8217;enqu\u00eate d&#8217;un groupe diversifi\u00e9 de professionnels espagnols de l&#8217;\u00e9conomie de la sant\u00e9, de l&#8217;\u00e9valuation des technologies de la sant\u00e9 et de l&#8217;industrie pharmaceutique, les auteurs identifient un consensus sur plusieurs points cl\u00e9s. Les experts insistent sur la priorit\u00e9 \u00e0 donner aux <strong data-start=\"812\" data-end=\"835\">besoins m\u00e9dicaux non satisfaits<\/strong> et aux <strong data-start=\"840\" data-end=\"857\">maladies rares<\/strong>, recommandent l&#8217;utilisation des <strong data-start=\"883\" data-end=\"922\">ann\u00e9es de vie corrig\u00e9es de la qualit\u00e9 (QALY)<\/strong> pour \u00e9valuer les b\u00e9n\u00e9fices pour la sant\u00e9 et plaident en faveur d&#8217;un <strong data-start=\"971\" data-end=\"1012\">seuil explicite de co\u00fbt-efficacit\u00e9<\/strong>. Les conclusions de l&#8217;\u00e9tude fournissent des indications pr\u00e9cieuses pour l&#8217;\u00e9laboration de cadres plus clairs, fond\u00e9s sur des donn\u00e9es probantes, dans les politiques de tarification et de remboursement de l&#8217;Espagne.  <\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Dans leur \u00e9tude de 2025 publi\u00e9e dans Health Economics, Policy and Law par Cambridge University Press, Juan Carlos Rejon-Parrilla, David Epstein, Daniel P\u00e9rez-Troncoso et Jaime Esp\u00edn \u00e9tudient la mani\u00e8re dont le remboursement des m\u00e9dicaments devrait \u00eatre structur\u00e9 en Espagne. Si les crit\u00e8res de remboursement sont formellement \u00e9tablis dans la l\u00e9gislation, leurs d\u00e9finitions pratiques et leurs&#8230;<\/p>\n","protected":false},"author":559,"featured_media":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":""},"categories":[],"tags":[3058],"document_type":[],"acf":[],"_links":{"self":[{"href":"https:\/\/p4h.world\/fr\/wp-json\/wp\/v2\/documents\/987788726"}],"collection":[{"href":"https:\/\/p4h.world\/fr\/wp-json\/wp\/v2\/documents"}],"about":[{"href":"https:\/\/p4h.world\/fr\/wp-json\/wp\/v2\/types\/documents"}],"author":[{"embeddable":true,"href":"https:\/\/p4h.world\/fr\/wp-json\/wp\/v2\/users\/559"}],"replies":[{"embeddable":true,"href":"https:\/\/p4h.world\/fr\/wp-json\/wp\/v2\/comments?post=987788726"}],"version-history":[{"count":4,"href":"https:\/\/p4h.world\/fr\/wp-json\/wp\/v2\/documents\/987788726\/revisions"}],"predecessor-version":[{"id":987788740,"href":"https:\/\/p4h.world\/fr\/wp-json\/wp\/v2\/documents\/987788726\/revisions\/987788740"}],"wp:attachment":[{"href":"https:\/\/p4h.world\/fr\/wp-json\/wp\/v2\/media?parent=987788726"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/p4h.world\/fr\/wp-json\/wp\/v2\/categories?post=987788726"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/p4h.world\/fr\/wp-json\/wp\/v2\/tags?post=987788726"},{"taxonomy":"document_type","embeddable":true,"href":"https:\/\/p4h.world\/fr\/wp-json\/wp\/v2\/document_type?post=987788726"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}