| 姓名 |
蔡懿玲(Yi-Ling Tsai)
查詢紙本館藏 |
畢業系所 |
企業管理學系在職專班 |
| 論文名稱 |
製藥業進入健保市場專案人員之績效評估
(Performance Evaluation for Market Access Staffs in Pharmaceutical Industry)
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| 相關論文 | |
| 檔案 |
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[Bibtex 格式]
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| 摘要(中) |
藥品市場進入專案(Market access)為新興專業,過去雖曾探討市場進入的定義 以及藥品成功上市的關鍵因素,卻無探究該專案人員績效評估標準之研究,本土 研究更是付之闕如。本研究目的為瞭解台灣藥品市場進入專案人員之工作模式、 不同工作項目的交互關係、建立該人員之績效評估標準。
本研究將市場進入專案人員之工作區分為,五大工作類別及18項工作項目, 以決策實驗室法(Decision Making Trial and Evaluation Laboratory, DEMATEL)問卷 訪問開發性製藥公司負責台灣市場進入專案的人員,分析結果指出影響力最大的 工作類別為工作類別四「整合臨床及經濟證據」,重要性最高的工作類別為工作 類別一「訂價及健保給付」;影響力最大的工作項目為辨識證據缺口、分析真實 世界證據、健康經濟與治療效果研究,最重要的工作項目為健保價格策略、獲得 健保給付、與健保署協商。
問卷分析結果說明了市場進入專案人員的績效評估,不應僅以最後的結果評 斷,應同時考慮有關的影響因素。藉由分析市場進入專案的工作本質,方能辨別 專案人員是否致力於專案,了解專案成功或失敗導因於外部不可抗力之因素,或 來自於專案人員之努力。本研究將台灣藥品市場進入專案人員之績效評估標準分 為短程、中程及長程目標。短程目標代表資訊、事實或證據的整合,中程目標代 表與內部及外部利益關係人的合作,長程目標代表藥品市場進入最終目標的達成, 建議考量短程、中程及長程目標的執行狀況後,進行綜合評估,方能有效改善該 專案人員之表現。 |
| 摘要(英) |
Market access is emerging profession. Although the definition of market access and excellent launch inventory were found through literature research, there is no study regarding to performance review criteria for market access staff in pharmaceutical industry. Our research purpose is to understand market access’s tasks, investigate the causal relations among tasks, and establish performance review criteria for market access staff.
We categorized market access tasks into 5 classes, and further divided into 18 items. DEMATEL (Decision Making Trial and Evaluation Laboratory) questionnaire survey was conducted with market access staff working for Taiwan pharmaceutical market. The research result indicated Class 4, “Generate clinical and economic evidences” is most influential to other classes, and Class 1, “Pricing & reimbursement” is the most important one. While Item 4-1 “Identify data gap map”, Item 4-2 “Analyze real world evidence” and Item 4-3 “HEOR” influence other criteria most, Item 1-1 “P&R strategy”, Item 1-4 “Get reimbursed” and Item 3-3 “Negotiate with NHIA” are the most important items.
The research result points out influencing factors should be taken into consideration for Market Access’ performance review, rather than results driving only. We can identify the root cause of Market Access Project’s success/failure, only when we understand the nature of Market Access. We concluded 3 stages of target achievement. The short term target is information, facts and evidences generation. The mid-term target is cooperation with internal and external stakeholders. The long term target is final target achievement. Through evaluating all target achievements, we can help Market Access staff improve his/her performance. |
| 關鍵字(中) |
★ 市場進入
★ 績效評估
★ 決策實驗室分析法
★ 製藥業 |
關鍵字(英) |
★ Market Access
★ Performance Evaluation
★ DEMATEL
★ Decision Making Trial and Evaluation Laboratory
★ Pharmaceutical Industry |
| 論文目次 |
第一章 緒論1
第二章 文獻回顧3
2-1 市場進入(Market access)的定義 3
2-2 市場進入的工作項目 4
2-3 績效評估的定義 7
2-4 台灣健保藥品核價與給付的決策流程 7
第三章 研究設計10
3-1 研究對象 10
3-2 研究方法 11
3-3 市場進入工作類別與工作項目 13
第四章 研究結果19
4-1 市場進入工作類別之影響關係 19
4-2 市場進入工作項目之影響關係 20
4-3 建立市場進入專案人員之績效評估標準 22
第五章 結論與建議27
5-1 結論 27
5-2 研究限制及建議 28
參考文獻29
中文部份29
英文部份29
線上部份31
附錄一、線上求職網站關於台灣藥品市場進入專案人員的工作描述33
附錄二、DEMATEL 問卷34
附錄三、工作類別 DEMATEL 分析流程40
S3-1 工作類別平均關係矩陣40
S3-2 工作類別標準化直接關係矩陣41
S3-3 工作類別總關係矩陣41
附錄四、工作項目 DEMATEL 分析流程43
S4-1 工作項目平均關係矩陣43
S4-2 工作類別標準化直接關係矩陣 44
S3-3 工作項目總關係矩陣(以矩陣平均值作為閾值) 45 |
| 參考文獻 |
中文部份
[1]陳昭姿,「歷年健保新藥管理趨勢回顧」,醫療爭議審議報導,系列 53,中 華民國 103 年 12 月。
英文部份
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[3]Betty Chang, Chih-Wei Chang, Chih-Hung Wu. “Fuzzy DEMATEL method for
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[13]Panteli D, Eckhardt H, Nolting A, Busse R, Kulig M. “From market access to
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[14]Sendyona S., Odeyemi I., and Maman K., “Perceptions and factors affecting pharmaceutical market access: results from a literature review and survey of
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[15]Shieh J.I. et, al. “A DEMATEL method in identifying key success factors of
hospital service quality” Knowledge-Based Systems 23 (2010) 277–282 [16]Gwo-Hshiung Tzeng, Cheng-Hsin Chiang, Chung-Wei Li. ” Evaluating
intertwined effects in e-learning programs: A novel hybrid MCDM model based on factor analysis and DEMATEL” Expert Systems with Applications 32 (2007) 1028–1044.
[17]Wei-Wen Wu. “Choosing knowledge management strategies by using a
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線上部份
[20]全民健康保險法。網址: http://law.moj.gov.tw/LawClass/LawAllIf.aspx?PCode=L0060001
[21]全民健康保險促進病友參與藥物納入健保給付決策作業要點。網址: https://www.nhi.gov.tw/Resource/bulletin/6465_1050035938A-1.pdf。
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[23]全民健康保險藥物給付項目及支付標準共同擬訂辦法條文。網址: http://law.moj.gov.tw/LawClass/LawAllIf.aspx?PCode=L0060030。
[24]健保署意見分享平台。網址: http://www.nhi.gov.tw/PatientShare/PatientShare.aspx。
[25]醫藥科技評估。網址:http://www.cde.org.tw/HTA/。
[26]Cameron McClearn, Thomas Croisier. Big pharma′s market access mission.
Deloitte University Press(2013) 網址: https://dupress.deloitte.com/dup-us-en/industry/life-sciences/big-pharmas-market-
access-mission.html
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| 指導教授 |
張東生(Dong-Shang Chang)
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審核日期 |
2017-1-23 |
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