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The complex price setting and reimbursement of non-industrial advanced therapy medicinal products.

BACKGROUND: Advanced Therapy Medicinal Products (ATMPs) developed under the Hospital Exemption (HE) offer innovative treatments for patients with unmet medical needs, but their pricing and reimbursement (P&R) remain fragmented and poorly understood. This paper examines the P&R landscape for HE-ATMPs developed by academic developers in Spain, based on the Spanish costing guideline and extends the analysis to HE-ATMPs developed by academic and non-profit developers across Europe. METHODS: We conducted a mixed-method, exploratory study combining literature review with interviews and email enquiri

Sociodemographic and clinical factors for non-hospital deaths among cancer patients: A nationwide population-based cohort study.

BackgroundFactors associated with place of death inform policies with respect to allocating end-of-life care resources and tailoring supportive measures.ObjectiveTo determine factors associated with non-hospital deaths among cancer patients.DesignRetrospective cohort study of cancer decedents, examining factors associated with non-hospital deaths using multinomial logistic regression with hospital deaths as the reference category.Setting/subjectsCancer patients (n = 15254) in Singapore who died during the study period from January 1, 2012 till December 31, 2105 at home, acute hospital, long-te

Financial toxicity and employment status in cancer survivors. A systematic literature review.

BackgroundFinancial toxicity has traditionally been attributed to the rising costs of cancer care. As ability to work impacts one's financial situation, limited employment and reduced income may also contribute to financial toxicity. We examined evidence of the association between financial toxicity and employment status in cancer survivors.MethodsA systematic literature review was performed via PubMed, Web of Science, CINAHL, and PsycINFO with search terms including "Cancer," "Financial toxicity," and "Employment" on September 25, 2019.ResultsThirty-one papers met eligibility criteria. Thirte

Национальное обследование использования медицинских ресурсов для лечения раковых заболеваний с использованием данных о состоянии здоровья населения Японии 2011 в адрес 2022.

Многодисциплинарное лечение рака значительно продвинулось вперед, особенно в том, что касается молекулярной целевой терапии, способствующей прогнозированию. Хотя эти расходы являются дорогостоящими, их финансовые последствия остаются непроверенными. Цель этого исследования заключалась в изучении общего использования ресурсов здравоохранения и выявлении факторов, определяющих стоимость лечения рака в Японии. В этом ретроспективном когортном исследовании пациенты диагностировали недуги в период с апреля 2011 и март 2022 были классифицированы по типам раковых заболеваний, и были проанализированы

Пациенты испытывают на себе воздействие множественных склерозов и корректирующих болезни терапии.

ЦЕЛЬ: Для регулирования множественных склерозов (MS) жизненно важное значение имеют методы лечения, корректирующие заболевания (DMT), однако исследования, проводимые с использованием административных данных, часто исключают предпочтения пациентов и факторы, которые врачи учитывают при принятии решений о лечении. Данные об опыте пациентов имеют важнейшее значение для понимания и улучшения инициирования, соблюдения и результатов лечения НР. МЕТОДЫ: С декабря в Интернете было проведено перекрестное обследование взрослых в США, имеющих MS или клинически изолированный синдром. 2022 по январь 2023 К

The Danish health care system and epidemiological research: from health care contacts to database records.

Denmark has a large network of population-based medical databases, which routinely collect high-quality data as a by-product of health care provision. The Danish medical databases include administrative, health, and clinical quality databases. Understanding the full research potential of these data sources requires insight into the underlying health care system. This review describes key elements of the Danish health care system from planning and delivery to record generation. First, it presents the history of the health care system, its overall organization and financing. Second, it details d

Cancer center leadership during large-scale crises: a practical evidence-informed framework with perspectives from the Gulf Cooperation Council.

Cancer centers are disproportionately vulnerable to large-scale crises-including pandemics, armed conflicts, cyberattacks, and supply chain failures-and while COVID-19 generated valuable crisis guidance for oncology, frameworks tailored to the specific structural vulnerabilities of GCC cancer systems have been limited. The Gulf Cooperation Council region illustrates this gap with immediate, real-time urgency. The ongoing 2026 regional military escalation has reportedly disrupted Strait of Hormuz shipping and Gulf air cargo routes-critical corridors for pharmaceutical cold-chain logistics acros

Why and How Should Ethiopia Establish a Stem Cell Transplant Service? A Review Article.

Ethiopia is attempting to reduce cancer-related morbidity and mortality through a strategic national cancer control plan but according to Globocan 2020, hematologic malignancies particularly leukemia and non-Hodgkin's lymphoma rank among the top five leading causes of new cancer incidence and cause of death among all age groups in both sexes. Hematopoietic stem-cell transplantation (HSCT) is an advanced treatment modality that makes the only effective treatment for cancer and non-cancer-related hematologic diseases unresponsive to conventional therapy. Patients who need stem cell transplants m

Survival outcomes and healthcare utilization between immigrant patients and Danish-born patients with hematological cancers: a Danish population-based study.

Overall survival (OS) for patients with a hematological cancer may differ between immigrant and Danish-born patients due to disparities in socioeconomic status, health literacy, and language proficiency. This cohort study aimed to investigate survival and hospitalization according to immigrant status while controlling for confounders. Patients with newly diagnosed hematological cancer in 2000-2020 were identified in the Danish nationwide hematological registers and stratified into Danish-born, Western, and non-Western patients. Patients were followed from diagnosis until death, 31st December 2

Exploring social determinants of health on chemotherapy-induced peripheral neuropathy severity in ovarian cancer: An integrative review.

Ovarian cancer remains a significant public health concern for women despite advancements in cancer management. Despite comprising only 2.5 % of cancers in women, ovarian cancer ranks as the fifth leading cause of cancer-related deaths among women, with patients frequently receiving late diagnoses. Chemotherapy, a primary treatment, frequently causes chemotherapy-induced peripheral neuropathy (CIPN), affecting over 60 % of patients and leading to severe sensory, motor, and autonomic nerve impairments. This often necessitates dosage reduction or discontinuation of treatment, thereby increasing

Citizen participation in patient prioritization policy decisions: an empirical and experimental study on patients' characteristics.

Health systems worldwide are grappling with the need to control costs to maintain system viability. With the combination of worsening economic conditions, an aging population and reductions in tax revenues, the pressures to make structural changes are expected to continue growing. Common cost control mechanisms, e.g. curtailment of patient access and treatment prioritization, are likely to be adversely viewed by citizens. It seems therefore wise to include them in the decision making processes that lead up to policy changes. In the context of a multilevel iterative mixed-method design a quanti

Burden of Disease and Cost of Illness of Overweight and Obesity in Portugal.

IntroductionThe prevalence of overweight and obesity has increased in the last decades, posing significant health and economic impacts globally. These conditions are related to several non-communicable diseases, including cardiovascular disease, type II diabetes, and cancer. This study estimated the disease burden and healthcare costs associated with overweight and obesity in the adult population in mainland Portugal, in 2018.MethodBurden of disease was measured in disability-adjusted life years (DALYs) following Global Burden of Disease (GBD) methodology. DALYs were calculated as the sum of y

Narrative review of the epidemiology, economic burden, and societal impact of metastatic bone disease.

As the prevalence of cancer continues to rise in the United States due to a combination of both early detection and increased life expectancy, the number of clinically symptomatic skeletal metastases will continue to grow. Healthcare expenditures on cancer treatment have steadily increased each decade to our estimated level of approximately $200 billion in 2020. Metastatic bone disease is a significant driver of this cost, accounting for nearly one-fifth of the total cost of oncologic treatment. Understanding the impact of metastatic bone disease can help to identify the gaps between diagnosis

The European Gaucher Alliance: a survey of member patient organisations' activities, healthcare environments and concerns.

BackgroundThe European Gaucher Alliance (EGA) was established in 1994 and constituted in 2008 as an umbrella group supporting patient organisations for Gaucher disease. Every two years, the EGA conducts a questionnaire survey of member associations to help develop its priorities and annual work programme. Results of the latest survey are presented.MethodsBetween June 2012 and April 2013, the 36 members and associate members of the EGA were asked to complete a questionnaire detailing membership numbers, disease specific treatments used by patients, means of access to treatment, availability of

A decision exercise to engage cancer patients and families in deliberation about Medicare coverage for advanced cancer care.

BackgroundConcerns about unsustainable costs in the US Medicare program loom as the number of retirees increase and experiences serious and costly illnesses like cancer. Engagement of stakeholders, particularly cancer patients and their families, in prioritizing insured services offers a valuable strategy for informing Medicare coverage policy. We designed and evaluated a decision exercise that allowed cancer patients and family members to choose Medicare benefits for advanced cancer patients.MethodsThe decision tool, Choosing Health plans All Together (CHAT) was modified to select services fo

Estimating Out-of-Pocket Savings From Medicare Site-Neutral Payments on Colon, Lung, Ovarian, and Prostate Cancer Patients.

Site-neutral payment reforms seek to align Medicare reimbursement rates for common outpatient services across care sites. Recent reports have assessed the composite impact of site-neutral payment policies on beneficiaries, federal savings, and the commercial market. This analysis builds on such work, focusing on the potential patient-level savings of site-neutral reform for high-utilizing Medicare beneficiaries facing common chronic cancers. We compiled the outpatient services of standard treatment regimens for a typical lung, ovarian, prostate, and colon cancer patient over their first year o

Что делают физиотерапевты в борьбе с недержанием мочи у женщин в системе первичной медико-санитарной помощи?

Недержание мочесодержания, определяемое как недобровольная потеря мочи, широко распространено среди женщин и оказывает значительное воздействие на физическое, эмоциональное и социальное благополучие. Несмотря на широкое признание того, что обучение мускулам тазового пола является первым направлением деятельности для легкого и умеренного УИ, роль физиотерапевтов в лечении этого заболевания в рамках системы первичной медико-санитарной помощи (ПМС) по-прежнему недостаточно изучена. Учитывая центральную роль ПМО в системах здравоохранения и преобладание общих и многопрофессиональных групп в этой с

The Challenges of Outcomes-Based Contract Implementation for Medicines in Europe.

ObjectivesThe aim was to outline the challenges of implementing outcomes-based contracts (OBCs) in Europe.MethodsA scoping review was conducted, building on the searches of a previous systematic review and updating them for December 2017 until May 2021. The combined results were screened, based on inclusion and exclusion criteria. All identified studies published in the English language that described specific OBC schemes for medicines in European countries were included. Insights into the challenges of OBCs were extracted and analysed to develop a conceptual framework.ResultsTen articles from

Перспективы медицинских работников и пациентов с повторной/редактированной миеломой в отношении приоритетных направлений лечения и новообразований.

ПППОСА: В связи с новыми методами лечения, включая химерик антигенный рецептор T-клетка (CAR-T) и биконкретные антитела (BSAbs), медицинские работники (HCP) сталкиваются с трудностями, связанными с лечением пациентов с повторной/рефрактурной множественной миеломой (RRMMM). В рамках этого исследования, проведенного в рамках самых крупных обследований, посвященных ОРМ, были изучены неудовлетворенные потребности в доступе к медицинскому обслуживанию, препятствия на пути использования новых методов лечения и принятия решений о лечении. МЕТОДЫ: Это исследование, основанное на результатах обследован

The evolution of drug therapy and the challenges to physicians, patients and healthcare systems.

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… We look forward to the vote in Congress on a supplementary law known as Amendment 29, which should set percentages for healthcare financing. …