Radtke Marc Alexander, Augustin Matthias
Department of Dermatology and Venerology, University-Hospital Hamburg-Eppendorf, Hamburg, Germany.
Clin Dermatol. 2008 Sep-Oct;26(5):424-31. doi: 10.1016/j.clindermatol.2007.10.024.
With a prevalence of 2% to 3%, psoriasis is a very common chronic disease worldwide and generates therapy costs and continuing cost for health insurance and patients and their families. Cost-political changes in health care and the ever increasing health-economic demands in all areas of the health system make it necessary to differentiate between the two when recording the expenses for a disease. The main characteristics of the pharmacoeconomic evaluation are the record of costs, the cost-benefit and cost-effectiveness ratio, and efficiency of various treatment forms. Numerous publications discuss the cost of individual forms of therapy in the treatment of psoriasis, but there are fewer studies on the total cost of psoriasis therapy, especially studies that take both direct and indirect costs into account. The scientific articles on pharmacoeconomy and quality of life in psoriasis have proven (without a doubt) that, despite the lack of a vital threat, psoriasis is highly important to the national economy and to those who have the disease. This justifies appropriate monetary expenditure for treatment. Studies that address the cost of therapies (especially for chronic diseases) will be necessary in the future and will create the required transparency to guarantee reasonable medical care that takes the cost-benefit ratio and the best outcome for the patient's quality of life into account.
银屑病的患病率为2%至3%,是全球一种非常常见的慢性病,给医疗保险、患者及其家庭带来了治疗费用和持续成本。医疗保健领域成本政策的变化以及卫生系统各个领域对卫生经济的需求不断增加,使得在记录一种疾病的费用时必须区分这两者。药物经济学评估的主要特征是成本记录、成本效益和成本效果比,以及各种治疗形式的效率。许多出版物讨论了银屑病治疗中个别治疗形式的成本,但关于银屑病治疗总成本的研究较少,尤其是同时考虑直接和间接成本的研究。关于银屑病药物经济学和生活质量的科学文章(毫无疑问地)证明,尽管银屑病没有生命威胁,但对国民经济和患者来说都非常重要。这证明了为治疗进行适当货币支出的合理性。未来有必要开展针对治疗成本(尤其是慢性病治疗成本)的研究,并创造所需的透明度,以确保合理的医疗保健,同时考虑成本效益比和对患者生活质量的最佳结果。