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印度尼西亚医疗保险和社会保障(JKN)患者非霍奇金淋巴瘤化疗的费用负担。

Cost burden of chemotherapy for Indonesian healthcare insurance and social security/Jaminan Kesehatan Nasional (JKN) patients with non-Hodgkin lymphoma.

机构信息

Department of Pharmacy Practice, Faculty of Pharmacy, Universitas Airlangga, Surabaya, Indonesia.

Department of Pharmacy, Universitas Airlangga Hospital, Surabaya, Indonesia.

出版信息

J Oncol Pharm Pract. 2024 Sep;30(6):1096-1100. doi: 10.1177/10781552241261250. Epub 2024 Jun 11.

DOI:10.1177/10781552241261250
PMID:38860280
Abstract

BACKGROUND

Cancer is among the leading causes of death globally, posing a significant economic burden on the healthcare sector. Among other types of cancer in Indonesia, non-Hodgkin lymphoma (NHL) ranks fifth in terms of prevalence. Chemotherapy for NHL patients is funded by a national health insurance scheme through the National Healthcare Insurance and Social Security/Jaminan Kesehatan Nasional (JKN).

OBJECTIVE

This study aimed to analyze cost burden of chemotherapy for JKN patients with NHL.

DATA SOURCE

A retrospective cross-sectional observational study was conducted among NHL patients receiving chemotherapy at a hospital in East Java, Indonesia in 2021. Data were collected from medical record documents and a total of 44 patient visits were recorded in this study.

DATA SUMMARY

The result showed that patient visits were dominated by females (55%), a significant proportion were aged 31 to 40 years (32%), and the majority were JKN participants in the Contribution Assistance Recipients/Penerima Bantuan Iuran (PBI) category (64%). The most chemotherapy regimen given was R-CHOP (68%) and the mean total cost for NHL patients was Indonesian Rupiah (IDR) 5,178,146. The highest mean cost burden was on chemotherapy drugs with a value of IDR 6,333,315. Based on the regimen, the highest cost burden was R-CHOP-Bleo with a mean cost of IDR 8,764,091.

CONCLUSION

Based on the results, the highest cost burden for chemotherapy among JKN patients with NHL in Indonesia was attributed to R-CHOP-Bleo regimen with a mean of IDR 8,764,091.

摘要

背景

癌症是全球主要死因之一,给医疗保健部门带来了巨大的经济负担。在印度尼西亚的其他癌症类型中,非霍奇金淋巴瘤(NHL)的发病率位居第五。NHL 患者的化疗由国家医疗保险计划通过国家医疗保险和社会保障/国民健康保险(JKN)提供资金。

目的

本研究旨在分析 JKN 患者 NHL 化疗的费用负担。

数据来源

本研究是一项 2021 年在印度尼西亚东爪哇一家医院进行的 NHL 接受化疗的患者的回顾性横断面观察性研究。数据来自病历文件,本研究共记录了 44 例患者就诊。

数据总结

结果显示,就诊患者以女性(55%)为主,相当一部分患者年龄在 31 至 40 岁之间(32%),大多数是 JKN 参与者中的缴费援助接受者/受助缴费者(PBI)类别(64%)。给予的最常见化疗方案是 R-CHOP(68%),NHL 患者的平均总费用为印度尼西亚卢比(IDR)5178146。化疗药物的平均费用最高,为 IDR 6333315。按方案计算,R-CHOP-Bleo 的费用负担最高,平均费用为 IDR 8764091。

结论

根据研究结果,印度尼西亚 JKN 患者 NHL 化疗的最高费用负担归因于 R-CHOP-Bleo 方案,平均费用为 IDR 8764091。

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