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Inquiry. 2004 Summer;41(2):116-29. doi: 10.5034/inquiryjrnl_41.2.116.
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[Chronic HCV infections. A model disease for therapy, economics and social-medical aspects].[慢性丙型肝炎病毒感染。治疗、经济学及社会医学层面的典型疾病]
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本文引用的文献

1
Evaluating HCV screening, linkage to care, and treatment across insurers.评估不同保险公司的 HCV 筛查、治疗和治疗情况。
Am J Manag Care. 2018 Aug 1;24(8):e257-e264.
2
Absolute Insurer Denial of Direct-Acting Antiviral Therapy for Hepatitis C: A National Specialty Pharmacy Cohort Study.保险公司完全拒绝丙型肝炎直接抗病毒治疗:一项全国专科药房队列研究。
Open Forum Infect Dis. 2018 Jun 7;5(6):ofy076. doi: 10.1093/ofid/ofy076. eCollection 2018 Jun.
3
Clinical and Economic Burden of Hepatic and Extrahepatic Complications from Chronic Hepatitis C: A Retrospective Analysis of German Sickness Fund Data.慢性丙型肝炎肝内和肝外并发症的临床及经济负担:基于德国疾病基金数据的回顾性分析
Infect Dis Ther. 2018 Sep;7(3):327-338. doi: 10.1007/s40121-018-0204-3. Epub 2018 Jun 19.
4
State Medicaid Reimbursement for Medications for Chronic Hepatitis C Infection from 2012 through 2015.2012 年至 2015 年,州医疗补助计划对慢性丙型肝炎感染药物的报销情况。
Value Health. 2018 Jun;21(6):692-697. doi: 10.1016/j.jval.2017.09.011. Epub 2017 Nov 7.
5
Healthcare Trends for 2018.2018年医疗保健趋势
Am Health Drug Benefits. 2018 Feb;11(1):48-54.
6
Increasing Access to Hepatitis C Virus Medications: A Program Model Using Patient Navigators and Specialty Pharmacy to Obtain Prior Authorization Approval.增加丙型肝炎病毒药物的可及性:使用患者导航员和专业药房获得事先授权批准的计划模式。
J Manag Care Spec Pharm. 2018 Apr;24(4):329-333. doi: 10.18553/jmcp.2018.24.4.329.
7
Comorbidity, concomitant medication, use of resources and healthcare costs associated with chronic hepatitis C virus carriers in Spain.西班牙丙型肝炎病毒慢性携带者的合并症、伴随用药、资源利用及医疗费用
Gastroenterol Hepatol. 2018 Apr;41(4):234-244. doi: 10.1016/j.gastrohep.2017.11.008. Epub 2017 Dec 26.
8
Systematic review: cost-effectiveness of direct-acting antivirals for treatment of hepatitis C genotypes 2-6.系统评价:直接抗病毒药物治疗丙型肝炎2-6型的成本效益
Aliment Pharmacol Ther. 2017 Oct;46(8):711-721. doi: 10.1111/apt.14271. Epub 2017 Aug 24.
9
Modeling the fiscal costs and benefits of alternative treatment strategies in the United Kingdom for chronic hepatitis C.模拟英国慢性丙型肝炎替代治疗策略的财政成本与效益。
J Med Econ. 2018 Jan;21(1):19-26. doi: 10.1080/13696998.2017.1371032. Epub 2017 Sep 5.
10
Economic Burden of Hepatitis C Infection.丙型肝炎感染的经济负担。
Clin Liver Dis. 2017 Aug;21(3):579-594. doi: 10.1016/j.cld.2017.03.012. Epub 2017 Apr 22.

保险供应商在支持丙型肝炎患者治疗与管理方面的作用。

The role of insurance providers in supporting treatment and management of hepatitis C patients.

作者信息

Behzadifar Masoud, Gorji Hasan Abolghasem, Rezapour Aziz, Behzadifar Meysam, Bragazzi Nicola Luigi

机构信息

Department of Health Services Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran.

Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Iran.

出版信息

BMC Health Serv Res. 2019 Jan 10;19(1):25. doi: 10.1186/s12913-019-3869-8.

DOI:10.1186/s12913-019-3869-8
PMID:30630488
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6329117/
Abstract

Today, one of the most important global public health challenges is represented by hepatitis C virus (HCV), which imposes relevant costs. Globally speaking, the median cost of HCV-related complications ranges from $280 for an uncomplicated hepatitis to $139,070 for a liver transplantation. There are effective therapies for HCV patients worldwide, which has increased the hope of improving the process of managing and curing these patients. The adherence of patients to the pharmacological treatment and the use of effective drugs in the management of HCV disease are of crucial importance for health policy- and decision-makers. Studies show that, globally, insurance coverage for patients with HCV is not adequate in that still many patients are not covered by insurance programs. This issue as well as the economic conditions of countries are very serious challenges for ensuring an effective treatment. The most important and greatest help currently available to ensure HCV treatment is to implement plans to reduce costs and support patients. Some studies have shown that the expansion of coverage by private payers seems able to generate positive spillover benefits to public insures. Insurers, in addition to maintaining and increasing their own interests, are trying to increase their social status as a sponsor of patients. In conclusion, HCV disease requires serious policies and affordable insurance coverage.

摘要

如今,丙型肝炎病毒(HCV)构成了全球最重要的公共卫生挑战之一,带来了巨大的成本负担。从全球范围来看,HCV相关并发症的成本中位数从单纯性肝炎的280美元到肝移植的139,070美元不等。全球范围内都有针对HCV患者的有效治疗方法,这增加了改善这些患者管理和治愈过程的希望。患者对药物治疗的依从性以及在HCV疾病管理中使用有效药物,对卫生政策制定者和决策者至关重要。研究表明,在全球范围内,HCV患者的保险覆盖并不充分,仍有许多患者未被保险计划覆盖。这个问题以及各国的经济状况,对于确保有效治疗而言都是严峻挑战。目前确保HCV治疗的最重要且最有效的帮助是实施降低成本和支持患者的计划。一些研究表明,私人支付者扩大保险覆盖范围似乎能够为公共保险带来积极的溢出效益。保险公司除了维护和增加自身利益外,还试图提升作为患者资助者的社会地位。总之,HCV疾病需要严肃的政策和可负担的保险覆盖。