每日肠道管理方案的经济影响
Vatche Melkonian1, Luis de la Torre1, Jill Ketzer1
1Children's Hospital Colorado International Center for Colorectal and Urogenital Care, Aurora, CO, USA.
治疗慢性疾病的肠道管理药物很昂贵,每年费用从15美元到4300美元以上. 这种财务负担对家庭产生影响,突出需要更好的保险覆盖和对药物费用的患者咨询.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 卫生经济学 卫生经济学
- 临床结果 临床结果
背景情况:
- 慢性便秘和便失禁显著影响患有直肠形,赫斯普朗氏病,异常性便秘和脊柱裂/脊髓损伤的患者.
- 有效的肠道管理方案对于患者的独立性至关重要,减少对尿布的依赖和管理便事故.
- 无处方便管理药物 (药,阴道) 通常不被保险所涵盖,这给家庭带来了财务挑战.
研究的目的:
- 审查与各种肠道管理方案相关的成本.
- 分析这些治疗对受影响家庭的经济影响.
- 提供支持提倡改善保险覆盖的数据.
主要方法:
- 从2016年1月到2023年9月接受肠道管理的430名患者的回顾性评估.
- 分析药物成本 (药,阴道) 并与尿布/失禁说明书的成本进行比较.
- 基于患者邮政编码计算年均家庭收入.
主要成果:
- 药的年度费用从15.70美元到2938.10美元不等;阴囊从29.20美元到4380美元不等.
- 尿布/失禁简报的成本每年从131.40美元到4343.50美元不等.
- 41个州的家庭年收入中位数在32,192美元至225,119美元之间.
结论:
- 对于管理慢性肠道疾病的家庭来说,存在巨大的经济负担.
- 咨询家庭关于药物费用的建议对于治疗坚持至关重要.
- 数据支持提倡加强对必要的肠道管理药物的保险覆盖.
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