-
Access to biologic treatment for rheumatoid arthritis in Central and Eastern European (CEE) countries [Elektronski vir]Orlewska, Ewa ...Background: The aim of this study was to assess and compare patients' access to biologic anti-RA drugs in selected Central and Eastern European (CEE) countries and to analyze the determinants of ... differences between countries. Material/methods: This is a multi-country survey study, based on a combinationof desk research and direct contact with national RA stakeholders. Data was collected using a pre-defined questionnaire. Affordability was measured using an affordability index, calculated comparing the index of health care expenditures to the price index, using Poland as an index of 1. Results: The percentage of patients on biologic treatment in 2009 was highest in Hungary (5% RA patients on biologic treatment), followed by Slovenia (4.5%), Slovakia (3.5%), Czech Republic (2.92%), Romania (2.2%), Estonia (1.8%), and Croatia, Serbia, Poland (below 1.5%). Infliximab, etanercept, adalimumab and rituximab were included in the reimbursement system in all countries, but abatacept and tocilizumab were included only in Slovakia. In Slovenia, public payer covered 75% of the price, and 25% is covered by supplementary health insurance; in Bulgaria public payer covered 50% of etanercept and adalimumab costs, and 75% of rituximab cost. In other countries, biologic drugs are reimbursed at 100%. Affordability index for biologic drugs was the lowest in Slovenia (0.4). In each country national guidelines define which patients are eligible for biologic treatment. Disease Activity Score (DAS28) of over 5.1 and failure of 2 or more disease-modifying anti-RA drugs, including methotrexate, are commonly used criteria. Conclusion:The most important factors limiting access to biologic anti-RA treatment in the CEE region are macroeconomic conditions and restrictive treatment guidelines.Vir: Medical Science Monitor. - ISSN 1234-1010 (Vol. 17, iss. 4, 2011, str. SR1-SR13)Vrsta gradiva - e-članekLeto - 2011Jezik - angleškiCOBISS.SI-ID - 29861081
Avtor
Orlewska, Ewa |
Ancuta, Ioan |
Praprotnik, Sonja |
Tomšič, Matija, 1959-
Teme
Health Services Accessibility |
Economics |
Antirheumatic Agents |
Economics |
Therapeutic Use |
Arthritis, Rheumatoid |
Drug Therapy |
Economics |
Epidemiology |
Therapy |
Costs And Cost Analysis |
Delivery Of Health Care |
Economics |
Europe |
Health Expenditures |
Health Planning Guidelines |
Zdravstvena služba, dostopnost |
Artritis revmatični |
Stroški in analiza stroškov |
Evropa |
Antirevmatiki |
Zdravstveno varstvo, sistemi |
Zdravstveno varstvo, stroški |
Zdravstveno načrtovanje, navodila
Vnos na polico
Trajna povezava
- URL:
Faktor vpliva
Dostop do baze podatkov JCR je dovoljen samo uporabnikom iz Slovenije. Vaš trenutni IP-naslov ni na seznamu dovoljenih za dostop, zato je potrebna avtentikacija z ustreznim računom AAI.
Leto | Faktor vpliva | Izdaja | Kategorija | Razvrstitev | ||||
---|---|---|---|---|---|---|---|---|
JCR | SNIP | JCR | SNIP | JCR | SNIP | JCR | SNIP |
Baze podatkov, v katerih je revija indeksirana
Ime baze podatkov | Področje | Leto |
---|
Povezave do osebnih bibliografij avtorjev | Povezave do podatkov o raziskovalcih v sistemu SICRIS |
---|---|
Orlewska, Ewa | |
Ancuta, Ioan | |
Praprotnik, Sonja | 13602 |
Tomšič, Matija, 1959- | 13601 |
Izberite prevzemno mesto:
Prevzem gradiva po pošti
Obvestilo
Gesla v Splošnem geslovniku COBISS
Izbira mesta prevzema
Mesto prevzema | Status gradiva | Rezervacija |
---|
Prosimo, počakajte trenutek.