美国抗癌疗法的高成本:挑战,机遇和进展
Shelley A Jazowski1,2, Rahul K Nayak3, Stacie B Dusetzina4,5
1Department of Health Policy, Vanderbilt University School of Medicine, Nashville, TN, USA.
Nature reviews. Clinical oncology
|October 4, 2024
概括
美国的抗癌治疗支出正在升,到2028年将达到1800亿美元. 高昂的药物价格限制了患者的获取并增加了风险,促使政策改革降低成本并提高价值.
科学领域:
- 卫生经济学 卫生经济学
- 在瘤学瘤学.
- 卫生政策 卫生政策
背景情况:
- 美国的抗癌治疗支出在2023年达到990亿美元,预计到2028年将达到1800亿美元.
- 增加的支出是由新型和现有的抗癌药物的高价驱动的,无论临床益处如何.
- 高昂的成本阻碍了患者的访问,负担能力和坚持,增加了癌症复发和死亡的风险.
研究的目的:
- 总结一下美国为降低抗癌治疗成本而颁布的政策.
- 讨论这些降低成本的改革的影响.
- 提出进一步的解决方案,以降低成本和提高癌症护理的价值.
主要方法:
- 审查过去十年颁布的州和联邦立法.
- 政策分析,包括自费支出上限,补贴和药物价格谈判.
- 综合影响,并提出额外的解决方案.
主要成果:
- 立法已经颁布,以限制自费支出,扩大补贴,并强制制药品价格谈判.
- 这些政策旨在减轻癌症治疗对患者的经济负担.
- 这些改革的有效性和更广泛的影响需要持续评估.
结论:
- 抗癌药物价格上对美国患者的获取和负担能力构成重大挑战.
- 政府政策已经实施,以解决这些成本问题.
- 需要进一步的创新解决方案,以确保可持续地获得高价值的癌症疗法.
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