医疗保健游说和瘤学
Nirmal Choradia1, Aaron Mitchell2, Ryan Nipp3
1Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, MD.
Journal of the National Comprehensive Cancer Network : JNCCN
|April 22, 2024
概括
医疗保健游说支出整体上升,但医生游说保持稳定. 然而,瘤医生专业组织 (OPPOs) 显著增加了游说力度,突出了癌症倡导支出日益增长的趋势.
科学领域:
- 卫生经济学 卫生经济学
- 卫生政策 卫生政策
- 瘤学倡导活动
背景情况:
- 医疗保健行业是一个主要的游说力量,在2022年将花费超过7亿美元.
- 与癌症相关的医疗保健游说支出以前没有被描述.
- 本研究分析了整体卫生部门和特定的瘤学游说支出.
研究的目的:
- 描述整个卫生部门的游说支出.
- 描述患者和临床医生组织的瘤相关游说支出.
- 确定2014年至2022年医疗保健和癌症倡导游说活动的趋势.
主要方法:
- 来自OpenSecrets.org和联邦选举委员会的游说数据.
- 整体卫生部门的游说活动分类为药品/健康产品,卫生服务/HMO,医院/养老院和卫生专业人员.
- 识别和分类与瘤学相关的游说团体:瘤医生专业组织 (OPPOs),PPS豁免的癌症医院,患者倡导组织和提供者网络.
- 分析时间趋势,使用通货膨胀调整后的美元和每位医生的支出,采用曼-肯达尔趋势测试.
主要成果:
- 药品/医疗保健产品在游说支出中增幅最大 (从2.94亿美元增加到3.76亿美元).
- 卫生专业人员的游说支出保持稳定,为9600万美元.
- 瘤医生专业组织 (OPPOs) 和PPS豁免的癌症医院显著增加了游说活动 (分别为17%和62%).
- 对OPPOs的每位医生的支出从60美元上升到134美元;对于免费PPS的癌症医院,它从168美元上升到226美元.
结论:
- 虽然整体卫生部门的游说活动增长了,但医生/卫生专业人士的游说活动保持稳定.
- 瘤医生专业组织 (OPPO) 的游说支出显著增加.
- 需要进一步的研究来了解游说在医疗保健和瘤学中的价值和影响,因为成本不断上升.
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