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Attempt to find the threshold of incremental cost-effectiveness ratio for a new drug to accept it in national health insurance

Research Project

Project/Area Number 19590521
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Medical sociology
Research InstitutionNihon University

Principal Investigator

SHIRAGAMI Makoto  Nihon University, 薬学部, 教授 (00339243)

Research Collaborator KURITA Mituru  日本大学, 大学院・薬学研究科・博士前期課程2年
Project Period (FY) 2007 – 2009
Project Status Completed (Fiscal Year 2009)
Budget Amount *help
¥4,550,000 (Direct Cost: ¥3,500,000、Indirect Cost: ¥1,050,000)
Fiscal Year 2009: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2008: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2007: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Keywords増分費用効果比 / 薬価 / 治療充足度 / 医療保険 / 新医薬品 / 効用値
Research Abstract

Considering the notion, prevailing in western countries, that the pharmaceutical should not be reimbursed by health insurance unless its Incremental Cost-effectiveness Ratio (ICER) is less than some pre-decided value, we tried to find the pre-decided value suitable to Japanese system based on the prices of 73 new products in Japan. ICER varied widely from 1200000 yen to 19000000 yen. This indicates that the current rule for calculating pharmaceuticals' price dose not necessarily reflect cost-effectiveness of new pharmaceutical. Reverse correlation was found between ICER for a disease and medical satisfaction. It suggests that ICERs for diseases classified by medical satisfaction can be used as pre-decided values under current price calculating system.

Report

(4 results)
  • 2009 Annual Research Report   Final Research Report ( PDF )
  • 2008 Annual Research Report
  • 2007 Annual Research Report
  • Research Products

    (4 results)

All 2010 2008 2007

All Journal Article (4 results) (of which Peer Reviewed: 3 results)

  • [Journal Article] Cost-effectiveness of Salmeterol/Fluticasone Combination Therapy vs. Fluticasone Propionate in Japanese Asthmatic Patients2010

    • Author(s)
      Yuji Tohda, Sankei Nishima, Ichiro Arakawa, Makoto Shiragami, Terumasa Miyamoto
    • Journal Title

      YAKUGAKU ZASSHI 130(4)

      Pages: 593-603

    • NAID

      130000259552

    • Related Report
      2009 Final Research Report
    • Peer Reviewed
  • [Journal Article] Cost-effectiveness of salmeterol/fluticasone combination therapy vs fluticasone propionate in Japanese asthmatic patients2010

    • Author(s)
      Yuji Tohda, Sankei Nishima, Ichiro Arakawa, Makoto Shiragami, Terumasa Miyamoto
    • Journal Title

      Yakugaku Zasshi 130(4)

      Pages: 593-603

    • NAID

      130000259552

    • Related Report
      2009 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Pharmacoeconomic Analysis of Hypertriglyceridemia Treatment at the Medical Institutions2008

    • Author(s)
      T. Takahashi, Y. Saegusa, Y. Takimoto, M. Shiragami
    • Journal Title

      YAKUGAKU ZASSHI 128(12)

      Pages: 1783-1789

    • NAID

      110007005960

    • Related Report
      2009 Final Research Report
    • Peer Reviewed
  • [Journal Article] 急性心不全におけるカルペリチド治療の臨床的有用性と医療経済性2007

    • Author(s)
      船崎俊一, 白神誠, 詫間浩樹
    • Journal Title

      呼吸と循環 55,7

      Pages: 805-811

    • NAID

      40015528185

    • Related Report
      2009 Final Research Report

URL: 

Published: 2007-04-01   Modified: 2016-04-21  

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