儿童癌症的药物可用性和负担能力,中国
Lin Bai1, Tao Huang1, Huangqianyu Li2
1Department of Pharmacy Administration and Clinical Pharmacy, School of Pharmaceutical Sciences, Peking University, 38 Xueyuan Road, Haidian District, Beijing, 100191, China.
Bulletin of the World Health Organization
|January 9, 2025
概括
在中国,获得必要的儿科抗癌药物是不够的,区域差异很大. 许多重要的药物缺乏可用性和负担能力,影响儿童.
科学领域:
- 儿科瘤学 儿科瘤学
- 医疗保健服务研究 医疗服务研究
- 药品接入 药品接入 药品接入
背景情况:
- 儿童获得必要的抗癌药物对于治疗结果至关重要.
- 这些药物的低于最佳的可用性和负担能力可能导致治疗延迟和差异.
- 对于中国的有针对性的干预措施来说,了解地区在接入方面的差异至关重要.
研究的目的:
- 调查中国各地儿科患者必需抗癌药物的可用性和可负担性.
- 确定这些重要药物获取的地理差异.
- 为改善中国儿科癌症护理的政策建议提供信息.
主要方法:
- 一项横截面研究分析了来自中国七个地区55家三级儿童医院的药物使用数据.
- 可用性是根据医院储存每种药物的百分比来评估的.
- 可负担性是通过将药品共同支付成本与区域人均每日可支配收入进行比较来确定的.
主要成果:
- 只有42.4%的基本儿科抗癌药物表现出良好的可用性和负担能力.
- 在接受调查的医院中,不到50%的医院提供了14种药物 (42.4%).
- 观察到区域差异很大,中国西北地区的接入率最低 (30.3%).
结论:
- 在中国,儿童获得必需的抗癌药物仍然不理想,分布不均.
- 很大一部分必需的儿科抗癌药物面临着可用性和负担能力的挑战.
- 需要采取紧急行动,改善药物供应链,减少家庭的经济负担.
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