通过基于价值的CART交付改善患者获取:使用微成本工具的例子
Mona Shafey1, Olivia Dickinson2, Helen Lilley2
1Department of Medicine, University of Calgary, Calgary, Alberta, Canada.
Transplantation and cellular therapy
|June 29, 2025
概括
准确估计化学抗原受体T细胞 (CAR T) 输送成本对于基于价值的护理至关重要. 一个新的微成本计算工具帮助提供者计算这些成本,确保公平的报销和患者获得CAR T治疗.
科学领域:
- 卫生经济学 卫生经济学
- 在瘤学瘤学.
- 医疗保健管理的管理
背景情况:
- 嵌合式抗原受体T细胞 (CAR T) 治疗的真正成本,不包括采购费用,往往是不确定的.
- 缺乏对成本估计的指导,使得提供者在建立或扩展CART服务时面临挑战.
- 不准确的成本估计可能导致不充分的报销,资源问题以及患者对CAR T疗法的有限访问.
研究的目的:
- 通过准确的成本估计来展示基于价值的CART服务交付方法.
- 引入基于Excel的微成本框架,以获得整个CART患者途径的透明成本估计.
- 支持提供商开发强大的业务案例,并为CAR T服务做出明智的资源决策.
主要方法:
- 开发基于Excel的微成本计算框架.
- 包括完整的患者途径,从初始评估到100天后的CAR T输液.
- 模拟未来的场景和资源变化,以确定效率和改进.
主要成果:
- 微成本计算工具为CART的交付提供了准确和透明的成本估计.
- 它有助于识别成本效益和服务改进的机会.
- 该工具支持补偿水平的验证,并减轻支付不足的风险.
结论:
- 准确的CAR T交付成本理解对于基于价值的医疗保健和提供者适当的补偿至关重要.
- 微成本计价工具为CART项目开发提供了以证据为导向的方法,减少了对假设的依赖.
- 该工具促进可持续的CART治疗,确保提供者的报销,并加强患者的获取.
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