巴布亚新几内亚一家省级医院癌症管理的直接医疗成本:2017年至2022年连续患者的疾病成本研究。

IF 2 Q3 HEALTH POLICY & SERVICES
Ian Umo , Michealynne Kulai , Pius Umo , Kennedy James , Rodger Ikasa
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引用次数: 0

摘要

背景:癌症是全球性的重大健康、性别和社会经济挑战。在巴布亚新几内亚,它是女性死亡的主要原因。了解与乳腺癌症管理相关的直接医疗费用可以指导癌症筛查、治疗、基础设施和培训的资源分配和投资。方法:2017年1月12日至2022年8月9日,在阿洛陶省医院对癌症乳腺癌患者进行疾病成本研究。采用自下而上的微观成本法来估计患者和医院的直接医疗成本。结果:癌症治疗的总费用为162456.14南非兰特(471150.28美元)。58.5%(n=38)的癌症患者未接受任何形式的手术。医院费用占直接医疗费用总额的99.7%(620156.14肯尼亚先令,469845.28美元)。每位患者的平均费用为4994.71肯尼亚克朗(7248.47美元)。美元换算为1肯尼亚克朗=0.29美元。结论:筛查投资,诊断和治疗对于解决巴布亚新几内亚癌症乳腺癌负担至关重要。政策摘要:省级医院(巴布亚新几内亚)必须投资并实施2015年国家癌症控制政策战略,旨在发展以医院为基础的癌症登记处、人力资源、装备卫生系统、改进癌症筛查、,为癌症控制提供资金和治疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The direct medical cost of breast cancer management in a provincial hospital of Papua New Guinea: A cost of illness study of consecutive patients from 2017 to 2022

Background

Breast cancer is a major global health, gender and socioeconomic challenge. In PNG it is the leading cause of female mortality. Understanding direct medical costs related to breast cancer management can direct resource allocation and investment in breast cancer screening, treatment, infastructure and training.

Methods

A cost of illness study was conducted amongst patients with breast cancer at Alotau Provincial Hospital from the 12th of January 2017–9 th of August 2022. A bottom up approach of micro costing was applied to estimate the patient and hospital perspectives of direct medical costs.

Results

The total cost of breast cancer management was K1,624,656.14 (US$471,150.28). 58.5 % (n = 38) of patients with breast cancer did not undergo any form of surgery. Hospital costs accounted for 99.7 % (K1,620,156.14, US$469,845.28) of the total direct medical costs. The average cost per patient was K24,994.71 (US$ 7248.47). The dollar conversion was 1 KINA = 0.29 USD.

Conclusion

Investment in screening, diagnosis and treatment is crucial in addressing the burden of breast cancer in PNG.

Policy Summary

Provincial hospitals (in PNG) must invest in and implement the 2015 National Cancer Control Policy strategies that aim to develop hospital based cancer registries, human resources, equip health systems, improve cancer screening, improve diagnostics, research, funding and treatment for breast cancer control.

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来源期刊
Journal of Cancer Policy
Journal of Cancer Policy Medicine-Health Policy
CiteScore
2.40
自引率
7.70%
发文量
47
审稿时长
65 days
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