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个性化医疗与支持性护理的经济风险。

The financial hazard of personalized medicine and supportive care.

作者信息

Carrera Pricivel M, Olver Ian

机构信息

Health Technology and Services Research, University of Twente, P.O. Box 217, 7500 AE, Enschede, The Netherlands.

Sansom Institute for Health Research, University of South Australia, GPO Box 2471, Adelaide, SA, 5001, Australia.

出版信息

Support Care Cancer. 2015 Dec;23(12):3399-401. doi: 10.1007/s00520-015-2922-3. Epub 2015 Aug 27.

Abstract

Personalized medicine is revolutionizing the delivery of oncological care, promising benefits both at the patient and health system levels. The cost of targeted therapies, unfortunately, is becoming more expensive and unaffordable. Where supportive care in cancer concerns the prevention and management of the adverse effects of cancer and its treatment and is the thrust of the Multinational Association of Supportive Care in Cancer, financing of and value in personalized medicine is an important area of research and engagement for the association. Discussing patients' concerns with and identifying those at most risk for the financial hazard of cancer treatment and offering financial counseling and assistance and/or referral to support networks are potential key areas for (exploring and providing) better supportive care. The time is now to turn the concern of patients and their carers, providers, and other advocates regarding the affordability of cancer treatment into a collective cause towards coordinated action.

摘要

精准医疗正在彻底改变肿瘤护理的提供方式,有望在患者层面和卫生系统层面带来益处。不幸的是,靶向治疗的成本越来越高,令人难以承受。在癌症支持治疗方面,其关注的是癌症及其治疗的不良反应的预防和管理,是癌症支持治疗多国协会的重点工作,精准医疗的融资和价值是该协会研究和参与的一个重要领域。与患者讨论他们的担忧,识别那些面临癌症治疗经济风险最大的患者,并提供财务咨询和援助,以及/或者转介到支持网络,是(探索和提供)更好的支持治疗的潜在关键领域。现在是时候将患者及其护理人员、提供者和其他倡导者对癌症治疗可承受性的担忧转化为共同事业,以采取协调行动了。

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