中国药房2017，Vol.28Issue(20)：2746-2749,4.DOI:10.6039/j.issn.1001-0408.2017.20.03
3种抗肿瘤靶向药物的可负担性评价——以湖北省为例
Affordability Evaluation for 3 Kinds of Anti-tumor Targeted Drugs:Taking Hubei Province as an Example
田梦媛 1崔丹 1张欲晓 1殷潇 1方欣 1胡江蔺1
作者信息
- 1. 武汉大学健康学院全球健康研究中心,武汉 430071
- 折叠
摘要
Abstract
OBJECTIVE:To evaluate the affordability of 3 anti-tumor targeted drugs gefitinib,trastuzumab and sunitinib in ur-ban and rural residents of Hubei province,and to provide reference for medical insurance price admission of anti-malignant tumor targeted drugs in China. METHODS:Referring to the incidence of malignant tumor stated in statistical yearbook of Hubei province and income data of urban and rural residents in Hubei province,based on the policy of reducing the price of imported drugs by 50% mentioned in the national drug price negotiations,and assume the drugs are included in the medical insurance reimbursement list,WHO/HAI standard survey method,catastrophic expenditure evaluation method and poverty effect evaluation method were ad-opted to calculate the affordability of 3 drugs. RESULTS:According to WHO/HAI standard survey method,increment of payment for 3 drugs were 64.00%-74.00% before and after 50% discount and reimbursement. According to catastrophic expenditure evalua-tion method,50% discount of gefitinib and reimbursement gefitinib,trastuzumab and sunitinib in urban area would result in cata-strophic expenditures of 20.00%、59.28% and 35.48% patients;in rural area,would result in catastrophic expenditures of 50.63%、74.72% and 75.93% patients. According to poverty effect evaluation method,50% discount of 3 drugs and reimbursement caused less than 31.95% urban and rural patients falling to poverty. CONCLUSIONS:Fifty percentage discount of 3 anti-tumor targeted drugs mentioned in the national drug price negotiations cause the economic burden more serious for rural residents than urban resi-dents. In the formulation of policies,the corresponding reimbursement ratio should be adjusted according to urban and rural areas, drug price and disease types for a balance of patients with different economic burden.关键词
抗肿瘤靶向药物/可负担性评价/医保/湖北省/吉非替尼/曲妥珠单抗/舒尼替尼Key words
Anti-tumor targeted drugs/Affordability evaluation/Medical insurance/Hubei province/Gefitinib/Trastuzumab/Sunitinib分类
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田梦媛,崔丹,张欲晓,殷潇,方欣,胡江蔺..3种抗肿瘤靶向药物的可负担性评价——以湖北省为例[J].中国药房,2017,28(20):2746-2749,4.
