在公共资助的医疗保健系统中使用补贴的遗传和基因组测试 2014-2023年
Chris Schilling1, Florencia Sjaaf2, Ilias Goranitis1,3,4
1Melbourne Health Economics, University of Melbourne, Melbourne, VIC, Australia.
European journal of human genetics : EJHG
|February 5, 2025
概括
在澳大利亚,公共资助的基因和基因组测试在过去十年中大幅扩大,有更多的测试和更高的服务量. 尽管有这种增长,但整体使用仍然很小,这表明临床实践中的整合挑战.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 基因组学就是基因组学.
- 医疗政策 医疗政策
背景情况:
- 澳大利亚政府通过联邦资助计划补贴医疗服务,包括遗传和基因组测试.
- 了解这些公共资助测试的利用趋势对于评估医疗保健整合和投资影响至关重要.
研究的目的:
- 从2014年到2023财年,分析澳大利亚公共资助的遗传和基因组测试利用的趋势和变化.
- 评估受补贴的基因和基因组测试的扩张及其相关服务量和成本.
主要方法:
- 从2014年到2023财年,使用了上列遗传和基因组测试的行政数据.
- 分析了受补贴的试验数量,临床指示,服务量和支付的福利的变化.
- 研究了基于年龄和性别的人口利用模式.
主要成果:
- 补贴的基因和基因组测试数量从2014年的32个增加到2023年的111个,跨越20到65种适应症.
- 服务量增长了50% (250,881至376,140),支付的福利增加了83% (AU$42.0M至AU$76.8M).
- 身体癌症,罕见疾病和生殖测试是最常见的;利用因年龄和性别而异.
结论:
- 在澳大利亚,公共资助的基因和基因组测试在过去十年中迅速扩大了补贴项目和服务利用率.
- 尽管有增长,但目前的使用相对适度,突出显示了将这些测试整合到常规临床实践中的挑战.
- 扩张表明基因组学研究投资越来越多地支持这些先进诊断服务的公共资金的证据.
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