在爱尔兰优化瘤药物支出
Ruth Kieran1,2, Maeve Hennessy3,4, Kate Coakley3
1Department of Medical Oncology, Cork University Hospital, Cork, Ireland. kieranr@tcd.ie.
Irish journal of medical science
|April 3, 2024
概括
在爱尔兰,从2008年到2018年,癌症药物支出翻了一番,但获得新疗法的机会仍然有限. 通过生物类似药的使用和废物减少等策略来优化支出,可以改善患者获得新型抗癌剂的机会.
科学领域:
- 卫生经济学 卫生经济学
- 瘤学 药房 药房
- 医疗保健政策 医疗保健政策
背景情况:
- 2008年至2018年,爱尔兰人均用于癌症药物的支出翻了一番.
- 尽管支出增加,但获得新型抗癌剂的机会落后于其他欧盟国家.
- 费用上的原因是患者的生存率提高,治疗时间延长以及昂贵的新药.
研究的目的:
- 检查在爱尔兰优化瘤药物支出的方法.
- 确定促进患者获得新型抗癌药物的策略.
- 为更高效的癌症药物利用提供政策和实践信息.
主要方法:
- 探索性分析以确定支出优化的关键目标.
- 结构化的文献搜索,重点关注爱尔兰医疗保健系统.
- 审查法定机构和EMA批准的代理人的报告.
主要成果:
- 生物相似集成可以大幅节省成本 (每年8000万欧元).
- 临床试验和扩展获取计划为新疗法获取提供了途径 (超过50个试验,28个程序).
- 其他策略包括基于体重的免疫疗法剂量,瓶子共享和优化调度,在一个中心每年可能节省40万欧元.
结论:
- 瘤学家正在采用各种技术来优化成本,并提高获得创新癌症治疗的机会.
- 审计生物类似药的使用,药物浪费和终生处方可以推动反思性实践.
- 在全国范围内优化瘤药物支出对于促进新抗癌药物的批准和可获得性至关重要.
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