芬兰使用生物和常规治疗的牛皮病患者的医疗保健资源利用模式
Aino Vesikansa1, Juha Mehtälä1, Jaakko Aaltonen2
1MedEngine Oy, Helsinki, Finland.
Frontiers in immunology
|June 25, 2024
概括
牛皮常见病的生物治疗显著减少了皮肤科医生访问,与传统治疗不同. 然而,整体医疗保健资源利用率保持不变,强调需要全面的治疗评估.
科学领域:
- 皮肤病学 皮肤病学
- 卫生经济学 卫生经济学
- 公共卫生 公共卫生
背景情况:
- 粗牛皮是一种实质性的和渐进的医疗负担.
- 了解医疗保健资源利用率 (HCRU) 对于管理牛皮患者至关重要.
研究的目的:
- 分析芬兰牛皮病患者的HCRU,这些患者开始接受生物或常规口服免疫抑制治疗.
- 为了比较生物和传统治疗组之间的HCRU模式.
主要方法:
- 在芬兰,以人口为基础的回顾性注册表研究 (2012-2018).
- 包括开始使用生物药物 (n=1,297) 或常规治疗 (n=4,753) 的牛皮患者.
- 从全国范围的注册处收集初级和二级HCRU数据.
主要成果:
- 生物启动者显示皮肤科医生接触的数量显著减少 (每年5.4到2.3).
- 传统的启动者没有经历皮肤科医生访问的减少 (每年3.3至3.2次).
- 在传统使用者转换治疗时,观察到皮肤科医生接触率很高,但不是生物使用者.
结论:
- 生物治疗与牛皮的专业护理需求减少有关.
- 总体而言,HCRU对任何一组的治疗后启动或切换都没有减少.
- 最佳治疗选择应考虑患者和医疗保健系统的疾病总负担.
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