کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
5524126 1546238 2017 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Challenges around Access to and Cost of Life-Saving Medications after Allogeneic Hematopoietic Cell Transplantation for Medicare Patients
ترجمه فارسی عنوان
چالش های پیش روی دسترسی و هزینه های داروهای ذخیره سازی پس از پیوند سلول های هماتوپوئیدی آلوگنی برای بیماران مدیکر
موضوعات مرتبط
علوم زیستی و بیوفناوری بیوشیمی، ژنتیک و زیست شناسی مولکولی تحقیقات سرطان
چکیده انگلیسی


- Prescription medicine coverage for hematopoietic cell transplantation for some Medicare beneficiaries, especially those with multiple post-hematopoietic cell transplantation complications, is a source of financial burden for these low-fixed-income patients
- Individual and policy level changes may need to occur to provide long-term affordable care to hematopoietic cell transplantation patients to avoid poor clinical and financial outcomes

Hematopoietic cell transplantation (HCT) is an expensive, medically complicated, and potentially life-threatening therapy for multiple hematologic and nonhematologic disorders with a prolonged trajectory of recovery. Similar to financial issues in other cancer treatments, adverse financial consequences of HCT are emerging as an important issue and may be associated with poor quality of life and increased distress in HCT survivors. Prescription medicine coverage for HCT for Medicare and some Medicaid beneficiaries, especially in the long-term, remains suboptimal because of inadequate payer formularies or prohibitive copays. With an increasing number of older patients undergoing HCT and improvement in the overall survival after HCT, the problem of financial burden faced by Medicare beneficiaries with fixed incomes is going to worsen. In this article, we describe the typical financial burden borne by HCT recipients based on estimated copayment amounts attached to the categories of key medications as elucidated through 2 case studies. We also suggest some possible solutions for consideration to help these patients and families get through the HCT by minimizing the financial burden from essential medications needed during the post-HCT period.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Biology of Blood and Marrow Transplantation - Volume 23, Issue 8, August 2017, Pages 1387-1392
نویسندگان
, , , , , , ,