对西班牙在高风险人口中实施肺癌查的预算影响分析
Aránzazu Hernández-Yumar1, Cristina Valcárcel-Nazco2, Paula Cantero-Muñoz3
1Canary Islands Health Research Institute Foundation, Tenerife, Spain; Evaluation Unit, Canary Islands Health Service, Tenerife, Spain; Spanish Network of Agencies for Assessing National Health System Technologies and Performance (RedETS), Madrid, Spain.
Gaceta sanitaria
|July 10, 2025
概括
在西班牙实施使用低剂量计算机断层扫描 (CT) 的肺癌查计划将大大增加国家卫生系统的成本,与目前的支出相比超过10亿欧元. 本分析评估了各种选情景,以了解财务影响.
科学领域:
- 卫生经济学 卫生经济学
- 公共卫生政策 公共卫生政策
- 在瘤学瘤学.
背景情况:
- 肺癌仍然是全球癌症死亡的主要原因.
- 通过查进行早期检测可以改善患者的治疗结果.
- 评估查计划的经济可行性对于医疗保健系统规划至关重要.
研究的目的:
- 分析基于人口的肺癌查计划的成本效益.
- 评估西班牙实施低剂量计算机断层扫描 (CT) 查的预算影响.
- 在高风险人群中比较不同的查策略.
主要方法:
- 从国家卫生系统的角度进行5年预算影响分析.
- 16种假设查情景 (年龄范围,频率) 与没有查的情景进行比较.
- 包括诊断,治疗,随访和查费用 (欧元2024).
主要成果:
- 目前情景的总预算影响估计为1.70819亿欧元.
- 假设的查场景范围从3.737.17亿欧元到10.009.54亿欧元.
- 净预算影响范围从2028.98万欧元到8301.35万欧元,这取决于选参数和扫描仪采购.
结论:
- 实施肺癌查计划代表了西班牙国家卫生系统的重大财政承诺.
- 预计的成本大大超过了当前无选方法的成本.
- 需要仔细考虑选参数和资源分配,以管理经济影响.
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