晚期前列腺癌的全身治疗:医疗保险计划与治疗费用之间的关系
Deborah R Kaye1, Hui-Jie Lee, Alexander Gordee
1Duke University Hospital, 40 Duke Medicine Circle, Durham, NC 27710.
The American journal of managed care
|September 20, 2024
概括
对于转移性割抵抗性前列腺癌 (mCRPC) 药物的患者自费费用因健康计划而异,但考虑到患者因素后,治疗选择在计划中保持相似.
科学领域:
- 在瘤学瘤学.
- 卫生经济学 卫生经济学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 癌症护理费用对患者和社会产生重大影响.
- 前列腺癌会导致高额的自付费用 (OOP).
- 对于一线转移性割抵抗性前列腺癌 (mCRPC) 治疗方法,存在有限的比较数据.
研究的目的:
- 分析对mCRPC治疗的保险人总支付和患者OOP支付的差异.
- 为了检查这些支付如何根据药物和健康计划类型而有所不同.
- 调查支付差异与治疗利用率之间的关系.
主要方法:
- 使用IBM MarketScan数据库 (2013-2019) 进行的回顾性队列研究.
- 包括那些用6种已批准的药物开始对mCRPC进行一线治疗的男性.
- 在治疗和保险计划中比较总/OOP支付和药物使用情况.
主要成果:
- 保险公司支付的费用因治疗方式而异,但在计划类型 (除了dcetaxel) 中是相似的.
- 患者的OOP支付因相同治疗的健康计划类型而有显著差异.
- 治疗利用率最初因计划类型而异,但在根据患者特征进行调整后并非如此.
结论:
- 患者的OOP药物成本并不总是反映医疗计划之间的保险公司支付差异.
- 尽管OOP的变化,mCRPC的治疗选择在控制患者因素后没有受到健康计划类型的显著影响.
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