癌症外科手术的自付支付的全球变化
Joana F F Simoes1, Maria Picciochi1, Adesoji Ademuyiwa1,2
1NIHR Global Health Research Unit on Global Surgery, University of Birmingham, Birmingham, UK.
World journal of surgery
|June 29, 2025
概括
低收入国家的患者在癌症手术中面临高昂的自付费用. 制定医疗保险计划对于防止灾难性支出和改善获得基本癌症护理至关重要.
科学领域:
- 全球健康 全球健康
- 手术瘤学手术瘤学
- 卫生经济学 卫生经济学
背景情况:
- 癌症手术是全球领先的健康挑战的关键干预措施.
- 与癌症治疗相关的高成本在全球范围内造成了巨大的财务负担.
- 了解口袋支付 (OOPP) 对于评估癌症护理的财务毒性至关重要.
研究的目的:
- 分析和比较不同国家收入群体的癌症手术自付费用.
- 在低收入和中等收入国家的癌症手术中确定与OOPP相关的因素.
主要方法:
- 国际前性队列研究的二次分析.
- 包括2020年10月接受癌症手术的来自108个国家的24,498名患者.
- 在高收入国家 (HICs),中高收入国家 (UMICs),中低收入国家 (LMICs) 和低收入国家 (LICs) 中比较了OOPP利率.
- 使用后勤回归来确定LMIC中OOPP的预测因素.
主要成果:
- 总体而言,6.4%的患者在癌症手术中发生了OOPP.
- 在低收入国家,OOPP利率显著上升:从0.5% (HICs) 到48.1% (LICs).
- 男性性别和选择性手术独立地与LMIC中较高的OOPP有关.
结论:
- 在LMIC中的患者面临着由于OOPP的癌症手术造成灾难性开支的巨大风险.
- 政府应该实施医疗保险计划,涵盖选择性癌症手术,涉及各种利益相关者.
- 需要进行进一步的研究,以了解自费支出和医疗保健准入方面的性别差异.
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