Sharma K, Das S, Mukhopadhyay A, Rath G K, Mohanti B K
Department of Radiotherapy, Dr. B. R. Ambedkar Institute Rotary Cancer Hospital (IRCH), All India Institute of Medical Sciences, New Delhi, India.
Indian J Cancer. 2009 Jul-Sep;46(3):184-9. doi: 10.4103/0019-509X.51360.
The global cancer burden has shown a distinct shift in the last two decades and its financial impact can be large, even among patients living in high resource countries, with comprehensive health insurance policies. It is hard to imagine its impact on patients of developing countries where insurance policies exist infrequently and often cost becomes the greatest barrier in availing cancer treatment. It is recognized that these costs include the direct cost of disease treatment and care, indirect costs accrued by the patient and the family, and economic losses to the society as a whole. Economic cost analysis or cost-effectiveness analysis has emerged as a basic tool in the evaluation of health-care practices. To date, these cost data have been collected only sporadically, even in the most developed countries, and there is a great need for incorporating economic cost assessment practices in developing countries, so that patients and their families can access the care adequately. The current review has been done using PubMed and MEDLINE search with keywords like cancer, cost-analysis, cost-effectiveness, economic burden, medical cost, etc.
在过去二十年中,全球癌症负担呈现出明显的变化,其经济影响可能很大,即使在拥有全面医疗保险政策的高收入国家的患者中也是如此。很难想象它对发展中国家患者的影响,在这些国家,保险政策很少见,费用往往成为获得癌症治疗的最大障碍。人们认识到,这些费用包括疾病治疗和护理的直接成本、患者及其家庭产生的间接成本以及整个社会的经济损失。经济成本分析或成本效益分析已成为评估医疗保健实践的基本工具。迄今为止,即使在最发达国家,这些成本数据也只是偶尔收集,而且在发展中国家非常需要纳入经济成本评估实践,以便患者及其家庭能够充分获得护理。本综述使用PubMed和MEDLINE进行搜索,关键词为癌症、成本分析、成本效益、经济负担、医疗成本等。