炎症性肠病护理的成本:如何使其可持续
Johan Burisch1, Jennifer Claytor2, Inmaculada Hernandez3
1Gastro Unit, Medical Division, Copenhagen University Hospital - Amager and Hvidovre, Hvidovre, Denmark; Copenhagen Center for Inflammatory Bowel Disease in Children, Adolescents and Adults, Copenhagen University Hospital - Amager and Hvidovre, Hvidovre, Denmark; Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.
炎症性肠病 (IBD) 的全球成本正在上升,主要是由于直接的医疗费用和显著的间接生产力损失. 可持续的IBD护理需要解决获取差异,并促进生物类似药等具有成本效益的治疗方法.
科学领域:
- 胃肠病学和健康经济学
- 公共卫生和医疗保健管理
背景情况:
- 全球炎症性肠道疾病 (IBD) 的流行率正在增加,包括克罗恩病和性结肠炎.
- 目前对IBD护理费用的估计,平均每年在高收入地区为9,000-12,000美元,往往低估了疾病严重程度和区域基础设施差异的总财务负担.
研究的目的:
- 检查炎症性肠病 (IBD) 的当前和未来经济影响.
- 确定挑战,并提出可持续和具有成本效益的IBD护理策略.
主要方法:
- 分析直接医疗保健费用 (行诊,住院,药物).
- 评估间接成本,包括生产力损失 (缺勤,缺席).
- 审查IBD现有文献和成本估计模型.
主要成果:
- IBD的直接成本是相当大的,但与生产力损失相关的间接成本是显著的,并且经常被低估.
- 成本可持续性的关键挑战包括获取差异,治疗负担能力以及缺乏标准化的成本效益指南.
- 早期采用生物疗法和生物仿制药,以及利用技术的多学科团队,显示了降低成本的前景.
结论:
- 需要一项全面的战略来应对IBD日益增加的财务负担,重点是公平获得成本有效的治疗方法.
- 创新的方法,包括患者报告的结果和生物类似药的利用,对于个性化和可持续的IBD护理至关重要.
- 医疗保健系统之间的协作努力对于确保管理IBD的更好的结果和长期可持续性至关重要.
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