在中国国家药物价格谈判政策下,抗癌药物的利用和决定因素
Bingbing Tuo1, Haokai Zhao2, Anxin Hu2
1Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei Province, People's Republic of China.
在中国,国家药物价格谈判 (NDPN) 改善了抗癌药物的可获得性,但显示出局外患者的利用程度有限. 谈判药物没有显著影响胃癌治疗结果.
科学领域:
- 卫生经济学 卫生经济学
- 制药政策 制药政策
- 在瘤学瘤学.
背景情况:
- 中国在2016年实施了国家药物价格谈判 (NDPN),以改善抗癌药物的可获得性和可负担性.
- 胃癌仍然是一个重大的健康问题,需要有效和易于获得的治疗选择.
研究的目的:
- 根据中国的NDPN政策,评估抗癌药物的使用模式.
- 为了确定影响这些谈判抗癌药物的使用的因素.
- 评估谈判药物使用对胃癌患者治疗结果的影响.
主要方法:
- 这项研究涉及来自中国三个城市的9868名胃癌患者.
- 利用两部分模型来确定影响抗癌药物使用的因素.
- 员工倾向分数匹配 (PSM) 来评估谈判药物对治疗结果的影响.
主要成果:
- 谈判抗癌药物的门诊使用率很低 (1.33%).
- 老年患者 (61-75岁和>75岁) 更有可能使用谈判药物.
- 住院患者的利用受保险类型,住院时间 (LOS) 和药物与总费用比率 (DTR) 的影响.
- 谈判性药物使用没有显著影响治疗结果.
结论:
- 门诊使用率低,凸显了需要加强对谈判抗癌药物的保险覆盖.
- 缺乏对治疗结果的重大影响强调了使用现实世界的证据严格验证药物有效性的必要性.
- 需要进一步的研究来优化NDPN覆盖的抗癌药物的可访问性和影响.
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