确定IVF和ICSI治疗的价格:一个成本分析
Rafael Venson1,2, Abha Maheshwari3, Scott M Nelson4,5,6
1Health Economics and Health Technology Assessment, School of Health and Wellbeing, University of Glasgow, Glasgow, UK.
Human fertility (Cambridge, England)
|June 10, 2023
概括
计算了苏格兰国家卫生服务 (NHS) 资助的体外受精 (IVF) 和细胞内精子注射 (ICSI) 周期的平均成本. 新鲜周期的平均费用为IVF3247英,ICSI为3473英,而冷周期的费用为938英.
科学领域:
- 生殖医学 生殖医学
- 卫生经济学 卫生经济学
- 公共卫生政策 公共卫生政策
背景情况:
- 苏格兰国家卫生服务 (NHS) 对体外受精 (IVF) 和细胞内精子注射 (ICSI) 的资金缺乏标准化的关税,导致治疗中心的成本差异.
- 了解与公共资助的生育治疗相关的确切成本对于资源配置和政策制定至关重要.
研究的目的:
- 为了确定NHS资助的苏格兰IVF和ICSI周期的平均成本.
- 为新鲜和冷生育治疗周期提供详细的成本细分.
- 建立一个可重复的方法来估计公共资助的医疗保健系统中的生育治疗成本.
主要方法:
- 使用2015-2018年NHS资助的周期数据进行了详细的成本分析.
- 采用了决定性方法,根据循环级数据和专家假设分配资源使用.
- 所有成本都以英国英 (£) 计算,使用2018年的价格,分析了总共9442个周期.
主要成果:
- 一次新的体外受精 (IVF) 周期的平均成本为3247英 (范围为1526英至4215英).
- 一个新的细胞内注射精子 (ICSI) 周期的平均成本为3473英 (范围为1526英-4416英).
- 冷胚胎移植周期的平均成本为938英 (范围为272英至1085英).
结论:
- 这项研究为苏格兰NHS资助的IVF和ICSI治疗提供了必要的成本数据.
- 这些发现可以帮助决策者和医疗保健当局在财务规划和对生育服务的资源配置方面提供帮助.
- 透明和可重复的方法允许在其他公共资助的医疗保健环境中进行成本估计.
相关概念视频
01:24In Vitro Fertilization
337
In vitro fertilization (IVF) is a form of assisted reproductive technology where an egg is fertilized with sperm in a controlled laboratory environment before transferring the resulting embryo into the uterus. This process is designed to help individuals and couples experiencing difficulties conceiving.
The IVF process begins with ovarian stimulation, during which reproductive endocrinologists prescribe hormonal medications to stimulate the ovaries to produce multiple eggs instead of the single...
The IVF process begins with ovarian stimulation, during which reproductive endocrinologists prescribe hormonal medications to stimulate the ovaries to produce multiple eggs instead of the single...
337
01:28Infertility in Females
353
Female infertility is defined as the inability to conceive after a year of regular, unprotected intercourse and affects about 10–15% of couples worldwide. The primary cause of female infertility is ovulatory disorders, which hinder the release of eggs. These disorders can be classified as hypothalamic amenorrhea, polycystic ovarian syndrome (PCOS), premature ovarian failure, and hyperprolactinemic anovulation disorders.
Endometriosis, a condition characterized by abnormal growth of...
Endometriosis, a condition characterized by abnormal growth of...
353
01:23Infertility in Males
299
Male infertility affects millions of couples worldwide, arising from various factors that impact different stages of the reproductive process. An endocrine imbalance resulting from conditions like hypogonadism, Klinefelter syndrome, or pituitary disorders can disrupt hormone levels and reduce sperm production. Testicular defects, such as tumors, cryptorchidism, atrophic testes, abnormal sperm morphology, and low sperm count or motility, may arise due to genetic factors, structural...
299
01:57Meiosis II
183.7K
Meiosis II is the second and final stage of meiosis. It relies on the haploid cells produced during meiosis I, each of which contain only 23 chromosomes—one from each homologous initial pair. Importantly, each chromosome in these cells is composed of two joined copies, and when these cells enter meiosis II, the goal is to separate such sister chromatids using the same microtubule-based network employed in other division processes. The result of meiosis II is two haploid cells, each...
183.7K