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[迟到获得专业护理的后果 - - 对类风湿性关节炎治疗费用的影响]
Luisa V Licker1,2, Nicolas Pardey3, Kristine Kreis4
1Center for Health Economics Research Hannover (CHERH), Leibniz Universität Hannover, Königsworther Platz 1, 30617, Hannover, Deutschland. luisa.licker@ihe.uni-hannover.de.
及时接触德国的风湿病专家可以降低类风湿性关节炎的治疗费用. 早期获取与更低的支出和更少的生物处方有关,有利于患者和医疗保健经济.
科学领域:
- 类风湿病学 类风湿病学
- 卫生经济学 卫生经济学
- 药物经济学 药物经济学
背景情况:
- 德国医疗保健面临的挑战是,由于风湿病专家的访问不足,导致长期等待和延迟类风湿关节炎 (RA) 诊断.
- 延迟诊断阻碍了及时有效地启动RA治疗.
研究的目的:
- 调查早期与延迟专业护理接入对类风湿性关节炎患者药物处方模式和成本的经济影响.
- 分析与不同专家咨询时间相关的药物费用.
主要方法:
- 通过使用来自Deliver-Care研究的医疗保险索赔数据 (2015-2020年) 进行了成本分析.
- 类风湿性关节炎患者 (ICD-10 M05/M06) 根据专家咨询时间分组:早期 (诊断季度内) 和晚期 (后续季度).
- 在早期和晚期访问组之间比较了药物费用.
主要成果:
- 超过一半的M05患者和四分之一的M06患者在诊断后的第一年缺乏专家访问.
- 在与专家接触的患者中,82.7%的患者有早期接触.
- 延迟专家接入显著增加了药物费用 (€4343 vs. €1763; p < 0.0001),并导致更早地转向高成本药物.
结论:
- 风湿性关节炎管理的早期专家准入与减少生物处方和降低整体药物成本有关.
- 及时诊断和治疗RA可以降低患者的疾病负担,并产生显著的医疗成本节省.
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