估计质子束治疗的利用率和泰国的投资
Imjai Chitapanarux1, Ekkasit Tharavichitkul1, Anussara Prayongrat2
1The Division of Radiation Oncology, Department of Radiology, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
Frontiers in public health
|October 10, 2025
概括
泰国 泰国 泰国 泰国
科学领域:
- 在瘤学瘤学.
- 卫生经济学 卫生经济学
- 辐射瘤学 辐射瘤学
背景情况:
- 泰国于2021年8月建立了第一个质子束疗法 (PBT) 中心.
- 高昂的成本和专业的专业知识需要对PBT的临床和经济影响进行评估.
- 战略规划对于泰国医疗保健系统的PBT扩张至关重要.
研究的目的:
- 为了预测泰国的全国PBT需求.
- 评估PBT服务的基础设施,人员和成本影响.
- 确定资源缺口,并为未来的PBT扩张战略提供信息.
主要方法:
- 预计PBT需求使用泰国PBT中心,THASTRO,国家癌症登记处和GLOBOCAN的数据.
- 根据泰国CGD退款指南和ASTRO模型政策估计的患者资格.
- 收集基础设施,人员和成本数据,评估RRCC版本24的资源缺口.
主要成果:
- 第一个PBT中心在2022-2023年期间治疗了628名患者 (占放射治疗病例的7%).
- 估计每年的PBT需求范围从1,454-2,797名患者 (3-5个单位) 在有限的补偿下,到4,471-5,430名患者 (10-20个单位) 没有限制.
- 一个基本的PBT单元的成本约为3000万美元,治疗过程约为38000美元.
结论:
- 基于补偿的需求和实际的PBT需求之间存在很大的差距.
- 战略规划必须平衡临床效益,成本效益和公平获取.
- 泰国未来的PBT增长需要仔细考虑金融可持续性和资源配置.
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