Cancer Drugs in Asian Populations Availability, Accessibility, and Affordability

被引:4
作者
Goh, Boon-Cher [1 ,2 ,3 ,4 ]
Lim, Jeremy Fung-Yen [5 ]
机构
[1] Natl Univ, Dept Hematol Oncol, Canc Inst, Singapore, Singapore
[2] Natl Univ Singapore, Canc Sci Inst, Singapore, Singapore
[3] Natl Univ Singapore, Dept Pharmacol, Yong Loo Lin Sch Med, Singapore, Singapore
[4] Natl Univ Singapore, Dept Med, Yong Loo Lin Sch Med, Singapore, Singapore
[5] Natl Univ Singapore, Saw Swee Hock Sch Publ Hlth, Singapore, Singapore
关键词
Asia; availability; cancer drugs; pricing; Universal Health Coverage; OF-POCKET COSTS; ANTICANCER DRUGS; ESMO-MAGNITUDE; HEALTH-CARE; MEDICINES; CHALLENGES; CRIZOTINIB; MORTALITY; ALECTINIB; DISCOVERY;
D O I
10.1097/PPO.0000000000000460
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Accessibility to effective cancer treatments is a goal of Universal Health Coverage; yet, achieving this in the context of escalating costs in a diversity of Asian nations with different socioeconomic development is extremely challenging. Value-based assessments within the context of each health care system, financing infrastructure that will facilitate appropriate prioritization of high-cost medications, transparency in international pricing and reducing out-of-pocket costs through national insurance programs are measures that Asian countries should take toward Universal Health Coverage for cancer care. Encouraging sharing data on pricing through the World Health Organization, sharing expertise in health technology assessments and regulatory approvals, and exploring bulk negotiations would also strengthen the process of price control. For each individual country, rational selection of national cancer formulary, aiming at price reduction and sound procurement strategies for each drug, is important toward ensuring affordable access to quality cancer medications.
引用
收藏
页码:323 / 329
页数:7
相关论文
共 58 条
[1]   Economic impacts of health shocks on households in low and middle income countries: a review of the literature [J].
Alam, Khurshid ;
Mahal, Ajay .
GLOBALIZATION AND HEALTH, 2014, 10
[2]   Global surveillance of trends in cancer survival 2000-14 (CONCORD-3): analysis of individual records for 37 513 025 patients diagnosed with one of 18 cancers from 322 population-based registries in 71 countries [J].
Allemani, Claudia ;
Matsuda, Tomohiro ;
Di Carlo, Veronica ;
Harewood, Rhea ;
Matz, Melissa ;
Niksic, Maja ;
Bonaventure, Audrey ;
Valkov, Mikhail ;
Johnson, Christopher J. ;
Esteve, Jacques ;
Ogunbiyi, Olufemi J. ;
Azevedo e Silva, Gulnar ;
Chen, Wan-Qing ;
Eser, Sultan ;
Engholm, Gerda ;
Stiller, Charles A. ;
Monnereau, Alain ;
Woods, Ryan R. ;
Visser, Otto ;
Lim, Gek Hsiang ;
Aitken, Joanne ;
Weir, Hannah K. ;
Coleman, Michel P. .
LANCET, 2018, 391 (10125) :1023-1075
[3]  
[Anonymous], 2019, IMS HLTH GLOBAL ONCO
[4]  
[Anonymous], 2017, BMJ BRIT MED J, DOI DOI 10.1136/BMJ.J4543
[5]  
[Anonymous], 2014, Global Health Expenditure Database
[6]  
[Anonymous], 2020, GLOBAL ONCOLOGY TREN
[7]  
[Anonymous], 2018, Health at a Glance: Asia Pacific 2018, DOI DOI 10.1787/26B007CD-EN
[8]  
[Anonymous], 2017, The Pharmaceutical Industry and Global Health Facts and Figures 2017
[9]   Overspending driven by oversized single dose vials of cancer drugs [J].
Bach, Peter B. ;
Conti, Rena M. ;
Muller, Raymond J. ;
Schnorr, Geoffrey C. ;
Saltz, Leonard B. .
BMJ-BRITISH MEDICAL JOURNAL, 2016, 352
[10]   Selection of oncology medicines in low- and middle-income countries [J].
Bazargani, Y. T. ;
de Boer, A. ;
Schellens, J. H. M. ;
Leufkens, H. G. M. ;
Mantel-Teeuwisse, A. K. .
ANNALS OF ONCOLOGY, 2014, 25 (01) :270-276