在瘤学领域推进全球药品公平
Parsa Erfani1, Ruth L Okediji2, Vivienne Mulema3
1Department of Medicine, Brigham and Women's Hospital, Boston, Massachusetts.
JAMA oncology
|November 14, 2024
概括
癌症药物的有限获取和高成本在全球范围内扩大了生存差距. 实施区域制造中心和透明定价等战略可以改善低收入和中等收入国家 (LMICs) 的癌症药物负担能力和获取能力.
科学领域:
- 全球健康 全球健康
- 药物经济学 药物经济学
- 在瘤学瘤学.
背景情况:
- 癌症药物的可用性和负担能力是关键问题,导致高收入国家和低收入和中等收入国家 (LMICs) 之间的生存差异显著.
- 现有的改善LMICs获取机会的策略,如慈善和差异性定价,取得了有限的成功.
- 迫切需要创新的方法来降低癌症药物价格,并提高LMICs的获取,以促进全球卫生公平.
研究的目的:
- 确定和讨论多边组织的战略,以降低LMICs的癌症药物价格.
- 审查从传染病药物获取计划 (HIV,COVID-19) 中获得的经验数据和经验教训.
- 提出可行的解决方案,以改善癌症药物的可访问性和可负担性.
主要方法:
- 对艾滋病毒和COVID-19的药物获取计划的经验数据的分析.
- 审查从国际合作和政策建议中吸取的经验教训.
- 讨论三个关键战略:区域制造中心,强制许可和药物价格透明度.
主要成果:
- 提出了三个核心战略:建立区域技术转让和制造中心,扩大和简化强制许可的使用,并实施药品价格透明度的全球标准.
- 讨论了对这些政策提出的批评,并探讨了它们与现有的以疾病为中心的倡议的整合.
- 强调了这些战略对促进药品公平和全球癌症控制的潜在影响.
结论:
- 以成功的艾滋病毒和COVID-19应对措施为榜样的国际合作对于促进LMICs癌症药物获取至关重要.
- 实施提高癌症药物的可及性和负担能力的战略对于全球癌症控制至关重要.
- 通过改善药物获取来解决LMICs中不断增长的癌症负担,符合实现联合国可持续发展目标.
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