在患有多发性骨髓瘤的年轻患者中,高扣除健康计划和自付医疗保健费用
Mark Aaron Fiala1, Mengmeng Ji2, Michael Slade1
1Division of Oncology, Washington University School of Medicine, St Louis, MO.
JCO oncology practice
|May 12, 2025
概括
高扣除健康计划 (HDHP) 增加了多发性骨髓瘤患者的自付费用. 然而,HDHP招生并没有延迟治疗,也没有减少干细胞移植的机会.
科学领域:
- 在瘤学瘤学.
- 卫生经济学 卫生经济学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 高扣除健康计划 (HDHP) 越来越普遍.
- 对多发性骨髓瘤 (MM) 等严重疾病患者获得护理的财务影响和影响仍在调查中.
研究的目的:
- 确定是否注册高扣除健康计划 (HDHP) 会给多发性骨髓瘤 (MM) 患者带来经济负担.
- 评估HDHP招生是否妨碍MM患者获得护理,特别是治疗开始和干细胞移植.
主要方法:
- 在2010年至2020年期间使用Merative MarketScan数据库诊断出4,029名多发性骨髓瘤 (MM) 患者的回顾性分析.
- 在HDHP和标准医疗计划注册者之间,诊断后一年的总医疗费用和自付费用 (OOP) 的比较.
- 使用多变量回归分析来评估治疗开始和干细胞移植接收的时间,控制相关的共变量.
主要成果:
- 在MM诊断后的一年内,在HDHP注册的患者体验到相比于标准计划的患者,在MM诊断后的一年内,自付费用 (OOP) 显著增加 (平均增加2,544美元).
- 尽管OOP成本较高,但HDHP注册者治疗开始的时间较短 (中位数为20天而不是22天),并且更有可能接受干细胞移植 (55.1%而不是47.6%).
- 在对共变量进行调整后,两组医疗保健总费用没有发现统计学上显著的差异.
结论:
- 虽然高扣除健康计划 (HDHP) 与多发性骨髓瘤患者的自费支出增加有关,但它们似乎不会妨碍及时启动治疗或减少获得干细胞移植的机会.
- 这些发现表明,与扣除相关的财务障碍可以克服,但对患者财务福祉的整体影响需要进一步研究.
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