Asadollahi Mina, Darvishi Ali, Azimi Amirreza, Annabi Majid, Jafariazar Zahra, Heshmat Ramin
Department of Pharmacoeconomic and Pharmaceutical Management, School of Pharmacy and Pharmaceutical Sciences, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran.
Chronic Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran.
Iran J Public Health. 2023 Feb;52(2):407-419. doi: 10.18502/ijph.v52i2.11894.
Due to the invariably progressive nature of multiple sclerosis (MS) and the high economic burden of chronic diseases, this study was performed to estimate the economic burden of MS medications in Iran.
The present research is a descriptive study performed using comprehensive national data of Iran's Health Insurance Organization (IHIO). The timeframe for study was 2011-2019. In order to calculate the economic burden of MS medications, the cost of illness (COI) method based on the prevalence approach was used. In this study, economic burden estimation was performed according to available data on medication costs. Data mining was also used to perform different stages of study.
The number of patients receiving MS medications covered by IHIO has increased from 19,367 in 2011 to 50,642 in 2019. The economic burden of MS medications of patients covered by the IHIO increased from $81 million to $96 million between 2011 and 2019, respectively. Among the 9 medications studied, Interferon accounted for a very high share of costs in all years. The cost per patient receiving medication has also increased from $7,000 in 2011 to $18,000 in 2019.
Calculations of the economic burden of MS medications in Iran showed an upward trend during the 9 years of the study, which due to the increasing number of patients in Iran, the arrival of new medications and also the increase in prices.
由于多发性硬化症(MS)具有不可避免的进行性本质以及慢性病带来的高昂经济负担,本研究旨在估算伊朗MS药物的经济负担。
本研究是一项描述性研究,使用了伊朗健康保险组织(IHIO)的全面国家数据。研究时间范围为2011年至2019年。为了计算MS药物的经济负担,采用了基于患病率方法的疾病成本(COI)法。在本研究中,根据药物成本的现有数据进行经济负担估算。还使用数据挖掘来进行研究的不同阶段。
接受IHIO承保的MS药物治疗的患者人数从2011年的19367人增加到2019年的50642人。2011年至2019年期间,IHIO承保患者的MS药物经济负担分别从8100万美元增加到9600万美元。在所研究的9种药物中,干扰素在所有年份的成本中占比都非常高。接受药物治疗的患者人均成本也从2011年的7000美元增加到2019年的18000美元。
伊朗MS药物经济负担的计算在研究的9年期间呈上升趋势,这是由于伊朗患者人数增加、新药物的出现以及价格上涨所致。