ネパールの癌の経済的負担: 年間費用と悲惨な医療費に関連する要因

Pratik Khanal¹, Kjell Arne Johansson¹, Achyut Raj Pandey¹

¹Bergen Centre for Ethics and Priority Setting in Health (BCEPS), Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway.

PloS one

|September 3, 2025

まとめ

ネパールのがん治療は莫大な経済的リスクを抱えていて患者の多くは莫大な医療費を支払わねばならず患者の4分の1は貧困に陥っていますこれは,がん患者の社会的健康保護の改善の緊急の必要性を強調しています.

科学分野:

腫瘍学
健康経済
公衆衛生

背景:

資源が少ない環境での癌治療の経済的負担に関する研究は限られている.
癌の治療には莫大な費用がかかり脆弱な集団に不釣り合いな影響を及ぼします
これらのコストを理解することは効果的な金融保護戦略の開発に不可欠です

研究の目的:

癌治療の年間費用に関連する要因を特定する.
壊滅的な医療費に関連する要因を特定する.
ネパールの癌治療による貧困を推定する.

主な方法:

ネパールで進行中のがん患者387人を対象とした横断的な研究です.
対面面談は,意図的に連続したサンプリング戦略を用いて行われました.
統計モデル (一般化された線形および多変数ロジスティック回帰) を使って,コストと支出データを分析した.

主要な成果:

癌治療の年間平均費用は3,687ドルでした. 高等教育や入院医療などの要因により費用が増加しました
96.9% (10%の値) と83.9% (25%の値) の患者さんに影響した.
患者の26%は癌の治療費の負担で貧困に陥りました

結論:

ネパールの患者にとって癌の治療は相当な金銭的リスクをもたらします
莫大な医療費と貧困は深刻な財政的毒性を表しています
強化された社会保健保護メカニズムは,がん治療の経済的負担を軽減するために不可欠です.

さらに関連する動画

06:16

Signal Acquisition, Score Interpretation, and Economics of a Non-Invasive Point-of-Care Test for Coronary Artery Disease

Published on: August 9, 2024

523

07:59

Author Spotlight: Advancements in Molecular Biomarker Testing for Non-Squamous Non-Small Cell Lung Cancer

Published on: September 8, 2023

1.2K

関連する概念動画

01:21

Cancer Survival Analysis

448

Cancer survival analysis focuses on quantifying and interpreting the time from a key starting point, such as diagnosis or the initiation of treatment, to a specific endpoint, such as remission or death. This analysis provides critical insights into treatment effectiveness and factors that influence patient outcomes, helping to shape clinical decisions and guide prognostic evaluations. A cornerstone of oncology research, survival analysis tackles the challenges of skewed, non-normally...

448

02:59

Cancer Prevention

6.3K

Several factors can increase the risk of cancer in an individual. About 50% of cancer cases can be prevented by adopting a healthy lifestyle, regular exercise, eating healthy, and following a modest cancer prevention diet. Epidemiological studies have consistently shown that populations with vegetable and fruit-rich diets have reduced the incidence of cancer. On the other hand, populations who have a diet rich in animal fat, red meat, junk food, or high calories are predisposed to cancer.
Some...

6.3K

01:20

Actuarial Approach

132

The actuarial approach, a statistical method originally developed for life insurance risk assessment, is widely used to calculate survival rates in clinical and population studies. This method accounts for participants lost to follow-up or those who die from causes unrelated to the study, ensuring a more accurate representation of survival probabilities.
Consider the example of a high-risk surgical procedure with significant early-stage mortality. A two-year clinical study is conducted,...

132

01:29

Issues And Trends In Healthcare Delivery System

5.8K

The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...

5.8K

01:30

Preventive Healthcare Services

1.1K

Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:

1.1K

01:27

Nursing Ethical Principles II

1.3K

Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...