Raich P C, Morton N
AMC Cancer Research Center, Denver, CO 80214, USA.
J Cancer Educ. 1999 Summer;14(2):93-5. doi: 10.1080/08858199909528587.
The traditional support for clinical research, teaching, and indigent patient care is being seriously compromised by the growth of managed care in the United States. Educational initiatives are needed to ensure the incorporation of clinical trials into the optimal care of cancer patients.
The Cancer Clinical Trials Task Force of Colorado was established in 1995 to find a collaborative and non-legislative solution to the uncertainty of coverage by third-party payers for cancer patients participating in clinical trials.
This program has served to heighten the awareness of the crucial role of clinical trials in defining new treatment strategies among third-party payers.
The Task Force and similar regional and national efforts have begun to provide needed information and education about the importance of clinical trials to the managed care industry; however, much remains to be done to ensure access to and coverage for clinical trials.
在美国,管理式医疗的发展严重损害了对临床研究、教学及贫困患者护理的传统支持。需要开展教育举措以确保将临床试验纳入癌症患者的最佳护理中。
科罗拉多癌症临床试验特别工作组于1995年成立,旨在找到一种协作性且非立法性的解决方案,以应对第三方支付者对参与临床试验的癌症患者承保范围的不确定性。
该项目提高了第三方支付者对临床试验在确定新治疗策略中关键作用的认识。
特别工作组以及类似的地区和全国性努力已开始就临床试验的重要性向管理式医疗行业提供所需信息和教育;然而,要确保临床试验的可及性和承保范围,仍有许多工作要做。