{"id":198,"date":"2022-01-20T20:47:41","date_gmt":"2022-01-20T20:47:41","guid":{"rendered":"https:\/\/www.lepointensante.com\/performance\/?p=198"},"modified":"2022-02-07T14:23:52","modified_gmt":"2022-02-07T14:23:52","slug":"atelier-2-2-les-donnees-clinico-administratives-et-le-remboursement-des-medicaments","status":"publish","type":"post","link":"https:\/\/www.lepointensante.com\/performance\/2022\/01\/20\/atelier-2-2-les-donnees-clinico-administratives-et-le-remboursement-des-medicaments\/","title":{"rendered":"Atelier 2-2 Les donn\u00e9es clinico-administratives et le remboursement des m\u00e9dicaments"},"content":{"rendered":"

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Atelier 2-2<\/h1>\n

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Les donn\u00e9es clinico-administratives et le remboursement des m\u00e9dicaments<\/h1>\n

<\/h1>\n

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Lorsqu\u2019un nouveau m\u00e9dicament est commercialis\u00e9 au Canada, ce dernier n\u2019est pas automatiquement consid\u00e9r\u00e9 comme remboursable par le r\u00e9gime public d\u2019assurance-m\u00e9dicaments. En effet, chaque m\u00e9dicament fait l\u2019objet d\u2019une \u00e9valuation par l\u2019Institut National d\u2019Excellence en Sant\u00e9 et en Services Sociaux (INESSS), selon une liste de crit\u00e8res pr\u00e9vus \u00e0 la Loi de l\u2019INESSS, menant \u00e0 une recommandation d\u2019inscrire ou non le m\u00e9dicament aux Listes des m\u00e9dicaments rembours\u00e9s par l\u2019\u00c9tat.\u00a0Une liste distincte existe pour les m\u00e9dicaments rembours\u00e9s en \u00e9tablissement de sant\u00e9 et pour ceux rembours\u00e9s dans un contexte ambulatoire.<\/p>\n

[\/et_pb_text][\/et_pb_column][et_pb_column type=\u00a0\u00bb1_4″ _builder_version=\u00a0\u00bb4.11.1″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_image src=\u00a0\u00bbhttp:\/\/www.lepointensante.com\/performance\/wp-content\/uploads\/sites\/26\/2022\/02\/Francois-Xavier-Houde.jpg\u00a0\u00bb title_text=\u00a0\u00bbFran\u00e7ois-Xavier Houde\u00a0\u00bb disabled_on=\u00a0\u00bboff|off|off\u00a0\u00bb _builder_version=\u00a0\u00bb4.11.1″ custom_margin=\u00a0\u00bb|||\u00a0\u00bb custom_margin_tablet=\u00a0\u00bb90px|||\u00a0\u00bb custom_margin_last_edited=\u00a0\u00bboff|desktop\u00a0\u00bb hover_enabled=\u00a0\u00bb0″ always_center_on_mobile=\u00a0\u00bboff\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb sticky_enabled=\u00a0\u00bb0″][\/et_pb_image][et_pb_text disabled_on=\u00a0\u00bboff|off|off\u00a0\u00bb _builder_version=\u00a0\u00bb4.11.1″ text_font=\u00a0\u00bb||||||||\u00a0\u00bb text_text_color=\u00a0\u00bb#7e7f93″ text_font_size=\u00a0\u00bb18px\u00a0\u00bb header_font=\u00a0\u00bb||||||||\u00a0\u00bb header_3_font=\u00a0\u00bbMerriweather|700|||||||\u00a0\u00bb header_3_text_color=\u00a0\u00bb#4646c4″ header_3_font_size=\u00a0\u00bb36px\u00a0\u00bb header_3_line_height=\u00a0\u00bb1.4em\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n

Fran\u00e7ois-Xavier Houde<\/em><\/strong><\/h3>\n

Pharmacien, p<\/em>rofessionnel scientifique en pharmaco\u00e9conomie<\/em>
Institut national d’excellence en sant\u00e9 et services sociaux<\/em><\/p>\n

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Houssem Missaoui<\/em><\/strong><\/h3>\n

Professionnel en donn\u00e9es clinico-administratives<\/em>
\nInstitut national d’excellence en sant\u00e9 et services sociaux<\/em>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=\u00a0\u00bb4.11.1″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb4_4″ _builder_version=\u00a0\u00bb4.11.1″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_text _builder_version=\u00a0\u00bb4.11.1″ text_font=\u00a0\u00bb||||||||\u00a0\u00bb text_font_size=\u00a0\u00bb20px\u00a0\u00bb text_line_height=\u00a0\u00bb1.8em\u00a0\u00bb custom_margin=\u00a0\u00bb25px|||\u00a0\u00bb animation_style=\u00a0\u00bbflip\u00a0\u00bb animation_direction=\u00a0\u00bbtop\u00a0\u00bb animation_delay=\u00a0\u00bb100ms\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n

Parmi les crit\u00e8res pr\u00e9vus \u00e0 la Loi, notons que l\u2019INESSS doit \u00e9valuer les cons\u00e9quences sur les autres composantes du syst\u00e8me de sant\u00e9 et de services sociaux. \u00c0 cette fin, l\u2019INESSS proc\u00e8de notamment \u00e0 l\u2019\u00e9valuation de l\u2019impact de l\u2019inscription du m\u00e9dicament sur le budget de la R\u00e9gie de l\u2019assurance-maladie ou sur celui des \u00e9tablissements, selon le cas.<\/p>\n

L\u2019estimation de l\u2019impact budg\u00e9taire s\u2019appuie principalement sur l\u2019estimation de la taille du march\u00e9 concern\u00e9e, les parts du produit dans ce march\u00e9, les alternatives th\u00e9rapeutiques remplac\u00e9es ainsi que leurs co\u00fbts respectifs. L\u2019estimation de la taille du march\u00e9 d\u2019ordonnances ou de patients admissibles peut \u00eatre accompagn\u00e9e d\u2019une grande incertitude lorsqu\u2019elle s\u2019appuie exclusivement sur des donn\u00e9es issues d\u2019\u00e9crits scientifiques ou d\u2019autres documents publics. Le recours aux donn\u00e9es clinico-administratives constitue une voie de passage permettant parfois d\u2019obtenir une information plus juste au regard du nombre de patients ou d\u2019ordonnances qui sont annuellement concern\u00e9s par le m\u00e9dicament \u00e9valu\u00e9.<\/p>\n

L\u2019INESSS a recours de fa\u00e7on routini\u00e8re \u00e0 un ensemble de donn\u00e9es clinico-administratives afin de r\u00e9aliser diverses analyses d\u2019impact budg\u00e9taire. Par exemple, il est possible de d\u00e9nombrer les patients faisant usage de traitements d\u2019une classe th\u00e9rapeutique ou encore ceux d\u00e9butant un traitement particulier durant une p\u00e9riode donn\u00e9e. Il est possible d\u2019estimer des doses moyennes, des dur\u00e9es moyennes de traitement ou encore des taux de persistance \u00e0 un traitement.<\/p>\n

Lors de cette pr\u00e9sentation des cas concrets seront discut\u00e9s. Les pr\u00e9sentateurs veilleront \u00e0 couvrir des aires th\u00e9rapeutiques vari\u00e9es comme la cardiologie, l\u2019oncologie, la rhumatologie et le diab\u00e8te. Ces aires de traitement comportent des enjeux qui leur sont propres. Par exemple, le recours aux donn\u00e9es d’hospitalisation est fr\u00e9quent en cardiologie, \u00e9tant donn\u00e9 que plusieurs traitements sont indiqu\u00e9s comme traitements pr\u00e9ventifs pour des patients ayant un ant\u00e9c\u00e9dent.<\/p>\n

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Atelier 2-2Les donn\u00e9es clinico-administratives et le remboursement des m\u00e9dicaments Lorsqu\u2019un nouveau m\u00e9dicament est commercialis\u00e9 au Canada, ce dernier n\u2019est pas automatiquement consid\u00e9r\u00e9 comme remboursable par le r\u00e9gime public d\u2019assurance-m\u00e9dicaments. En effet, chaque m\u00e9dicament fait l\u2019objet d\u2019une \u00e9valuation par l\u2019Institut National d\u2019Excellence en Sant\u00e9 et en Services Sociaux (INESSS), selon une liste de crit\u00e8res pr\u00e9vus \u00e0 […]<\/p>\n","protected":false},"author":766,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"1080","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-198","post","type-post","status-publish","format-standard","hentry","category-non-classe"],"_links":{"self":[{"href":"https:\/\/www.lepointensante.com\/performance\/wp-json\/wp\/v2\/posts\/198","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.lepointensante.com\/performance\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.lepointensante.com\/performance\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.lepointensante.com\/performance\/wp-json\/wp\/v2\/users\/766"}],"replies":[{"embeddable":true,"href":"https:\/\/www.lepointensante.com\/performance\/wp-json\/wp\/v2\/comments?post=198"}],"version-history":[{"count":9,"href":"https:\/\/www.lepointensante.com\/performance\/wp-json\/wp\/v2\/posts\/198\/revisions"}],"predecessor-version":[{"id":307,"href":"https:\/\/www.lepointensante.com\/performance\/wp-json\/wp\/v2\/posts\/198\/revisions\/307"}],"wp:attachment":[{"href":"https:\/\/www.lepointensante.com\/performance\/wp-json\/wp\/v2\/media?parent=198"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.lepointensante.com\/performance\/wp-json\/wp\/v2\/categories?post=198"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.lepointensante.com\/performance\/wp-json\/wp\/v2\/tags?post=198"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}