从突破到讨价还价:以患者为中心,具有成本效益的治疗策略
Ali Shields1, John S Barbieri1
1Department of Dermatology, Brigham and Women's Hospital, Boston, Massachusetts. Dr. Barbieri also is from Harvard Medical School, Boston.
Cutis
|October 11, 2023
概括
由于药品价格上,成本有效的治疗非常重要. 通用局部组合,荷尔蒙药物,多西环素和异三胺具有价值,同时减少不必要的实验室监测可以改善患者护理并降低成本.
科学领域:
- 皮肤病学 皮肤病学
- 卫生经济学 卫生经济学
- 药物经济学 药物经济学
背景情况:
- 治疗成本正在上升,影响患者的坚持和结果.
- 以患者为中心,具有成本效益的护理越来越重要.
- 组合局部产品可以提高疗效和坚持性.
研究的目的:
- 评估各种治疗方案的成本效益.
- 确定减少与管理相关的医疗保健成本的策略.
- 突出提供更高价值皮肤病护理的机会.
主要方法:
- 审查可用的治疗选择,包括局部治疗,激素药物和全身药物.
- 基于临床效用,定价和保险覆盖的成本效益分析.
- 评估实验室监测对患者成本和医疗保健系统负担的影响.
主要成果:
- 通用固定剂量阿达巴-过氧化物 (BPO) 和克林达米辛-BPO对于轻度至中度是具有成本效益的.
- 联合口服避孕药 (COCs) 和螺旋是适度至严重的成本有效的激素药物.
- 多西环素和异二是严重的成本效益,但频繁的实验室监测增加了显著的成本,没有明显的临床益处.
结论:
- 优化治疗包括选择具有成本效益的选择,如通用局部药物和激素药物.
- 减少对螺旋乳和异二胺的不必要的实验室监测,为节省成本提供了重大机会.
- 实施具有成本意识的策略可以增强以患者为中心的护理,改善合规性,并减少财务毒性.
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