Behzadifar Masoud, Gorji Hasan Abolghasem, Rezapour Aziz, Behzadifar Meysam, Bragazzi Nicola Luigi
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.
BMC Health Serv Res. 2019 Jan 10;19(1):25. doi: 10.1186/s12913-019-3869-8.
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.
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。