全民卫生系统中的头癌医疗费用:基于人口的病例对照研究
Noémie Villemure-Poliquin1,2,3, Rui Fu1,2,4, Kelvin K W Chan2,4,5
1Institute of Health Policy, Management, and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada.
概括
头癌 (HNC) 在63个月的时间里,每人直接医疗费用超过53,000美元. 诊断后的早期阶段和高级阶段或多模式治疗的成本最高.
科学领域:
- 在瘤学瘤学.
- 卫生经济学 卫生经济学
- 公共卫生 公共卫生
背景情况:
- 头癌 (HNC) 对医疗保健系统构成重大财务负担.
- 了解跨HNC护理阶段的直接医疗成本对于资源分配和普遍医疗保健的成本效益至关重要.
研究的目的:
- 在诊断后60个月内量化HNC的直接医疗成本.
- 分析根据癌症亚部位,阶段和治疗方式的成本变化.
主要方法:
- 基于人口的,匹配的病例控制研究,利用来自加拿大安大略省的行政医疗保健数据.
- 包括19,832名被诊断患有HNC的成年人 (2007-2020年),与5个对照组相匹配.
- 分析了63个月的平均人均直接医疗费用,按护理阶段,副站点,阶段和治疗进行分析.
主要成果:
- 63个月的平均人均HNC成本为53 812.9美元.
- 诊断后的前3个月 (9709.7美元/月) 费用达到峰值,并随着时间的推移而下降.
- 喉/喉癌,晚期 (IV与IV相比) 的癌症. I) 和多模式治疗 (手术+化疗辐射) 的费用最高.
结论:
- HNC产生大量的医疗保健费用,根据分站,阶段和治疗而有很大的差异.
- 峰值成本发生在早期治疗期间,对于多模式治疗患者来说仍然很高.
- 调查结果为HNC护理的资源配置和成本效益评估提供了信息.
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