Ghoshal Arunangshu, Damani Anuja, Salins Naveen, Deodhar Jayita, Muckaden M A
Department of Palliative Medicine, Tata Memorial Centre, Mumbai, Maharashtra, India.
Indian J Palliat Care. 2017 Oct-Dec;23(4):456-461. doi: 10.4103/IJPC.IJPC_51_17.
Only a few studies have assessed the economic outcomes of palliative care in India. The major areas of interest include hospice care, the process and structure of care, symptom management, and palliative chemotherapy compared to best supportive care. At present, there is no definite health-care system followed in India. Medical bankruptcy is common. In situations where patients bear most of the costs, medical decision-making might have significant implications on economics of health care. Game theory might help in deciphering the underlying complexities of decision-making when considered as a two person nonzero sum game. Overall, interdisciplinary communication and cooperation between health economists and palliative care team seem necessary. This will lead to enhanced understanding of the challenges faced by each other and hopefully help develop ways to create meaningful, accurate, and reliable health economic data. These results can then be used as powerful advocacy tools to convince governments to allocate more funds for the cause of palliative care. Eventually, this will save overall costs and avoid unnecessary health-care spending.
仅有少数研究评估了印度姑息治疗的经济成果。主要关注领域包括临终关怀、护理过程与结构、症状管理以及与最佳支持治疗相比的姑息化疗。目前，印度没有明确遵循的医疗保健体系。医疗破产很常见。在患者承担大部分费用的情况下，医疗决策可能对医疗保健的经济状况产生重大影响。当被视为两人非零和博弈时，博弈论可能有助于解读决策背后的潜在复杂性。总体而言，卫生经济学家与姑息治疗团队之间的跨学科沟通与合作似乎很有必要。这将增进对彼此所面临挑战的理解，并有望有助于开发出创建有意义、准确且可靠的卫生经济数据的方法。这些结果随后可作为有力的宣传工具，来说服政府为姑息治疗事业分配更多资金。最终，这将节省总体成本并避免不必要的医疗保健支出。
