在商业保险的男性中预计的自付费用和前列腺癌管理
Sarah Leick1, Addison Shay2, Samuel R Kaufman2
1Department of Urology, Massachusetts General Hospital, Boston, Massachusetts, USA.
Cancer medicine
|August 29, 2025
概括
对于患有前列腺癌的男性来说,自费费用各不相同,但对立即治疗和保守治疗之间的决定没有显著影响. 经济责任似乎对治疗选择没有弹性.
科学领域:
- 癌症学
- 健康经济学
- 医疗服务研究
背景情况:
- 新诊断的前列腺癌患者可以选择立即治疗或保守的治疗.
- 这些管理策略之间的自费成本有很大差异.
- 预期的患者费用可能会影响治疗决策.
研究的目的:
- 估计新诊断前列腺癌的商业保险男性的自费费用.
- 测量患者预测成本与立即治疗与保守治疗之间的关联.
主要方法:
- 利用前列腺癌患者的MarketScan数据 (2010-2020年).
- 来自关节镜修复半径患者的成本预测系数.
- 应用系数来估计前列腺癌患者的自费费用,并使用后勤回归来评估治疗选择.
主要成果:
- 发现了58206名前列腺癌患者.
- 12%的人没有预测的自付费用; 其他人的中位成本为350美元.
- 经过调整的即时治疗率在成本四分位数中差不多为77.8%至78.6%.
结论:
- 预计前列腺癌治疗的自费费用在商业保险男性之间有很大差异.
- 治疗选择 (即时与保守) 似乎对患者预期的财务责任不敏感.
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