https://scholars.lib.ntu.edu.tw/handle/123456789/581963
標題: | Reimbursement policies in the Asia-Pacific for chronic hepatitis B | 作者: | Lim S.G. Amarapurkar D.N. Chan H.L.-Y. Crawford D.H. Gane E.J. Han K.-H. Ahn S.H. Jafri W. Jia J. JIA-HORNG KAO Lesmana L.A. Lesmana C.R.A. Mohamed R. Phiet P.H. Piratvisuth T. Sarin S.K. Sollarno J.D. Eguchi Y. Mahtab M.-A. Lee K.H. |
關鍵字: | Antiviral therapy; Asia Pacific; Hepatitis B; Reimbursement | 公開日期: | 2015 | 出版社: | Springer Science and Business Media, LLC | 卷: | 9 | 期: | 1 | 起(迄)頁: | 43-51 | 來源出版物: | Hepatology International | 摘要: | Background: There is considerable variation in reimbursement policies in Asian countries and this is likely to have an impact on treatment practice for chronic hepatitis B (CHB). Consequently a survey of leading hepatologists was performed to evaluate such policies and their impact on management of CHB in the Asia Pacific region.Methods: A questionnaire was sent to key hepatologists in Asia Pacific for information on CHB reimbursement policy—its nature, coverage, funding source, duration, review strategy and impact on Asia Pacific Association for the Study of the Liver (APASL) CHB guidelines. The results were analysed and described.Results: Leading hepatologists from 16 Asia Pacific countries responded. Almost all of the countries have reimbursement policies but eligibility varied from only a limited group (e.g. civil servants only) to universal access. In most instances reimbursement was from the central government (except China, Pakistan and Hong Kong). Reimbursement policies were usually created by Ministry of Health committees, who received input from medical professionals, although they may not be aware of the APASL guidelines. Policies were limited by available resources, funds and prioritization. Where there was a regular review this occurred between 1 and 5?years. The quantum of reimbursement varied from 50?% in Singapore to 100?% in the majority of other countries. The criteria for treatment reimbursement were based on doctor’s opinion alone (Bangladesh, India, Pakistan, Philippines, Singapore and Vietnam) or specific clinical/laboratory criteria in the rest of the countries. In general, most countries offered unlimited duration for reimbursement except Taiwan, Indonesia and Pakistan. Monitoring tests for treatment response were reimbursed in all countries other than Vietnam. Viral resistance was diagnosed by viral or biochemical breakthrough, and viral resistance testing was uncommon. The main rescue therapy was adefovir.Conclusion: Reimbursement policies differed from country to country, the quantum and the proportion of patients who received reimbursement also varied significantly. Asia Pacific countries were able to follow APASL guidelines with variable success based on their reimbursement policies. ? 2014, Asian Pacific Association for the Study of the Liver. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-84925541954&doi=10.1007%2fs12072-014-9593-x&partnerID=40&md5=166a56178c9eff7afd7a537299a9bd04 https://scholars.lib.ntu.edu.tw/handle/123456789/581963 |
ISSN: | 1936-0533 | DOI: | 10.1007/s12072-014-9593-x | SDG/關鍵字: | adefovir; entecavir; hepatitis B(e) antigen; interferon; lamivudine; peginterferon; telbivudine; tenofovir; virus DNA; antivirus agent; add on therapy; Article; Asia; Bangladesh; China; elastography; government; health care access; health care availability; health care delivery; health care financing; health care organization; health care policy; health insurance; health practitioner; hepatitis B; Hong Kong; human; India; Indonesia; liver biopsy; liver function test; medical specialist; Pacific islands; Pakistan; patient monitoring; Philippines; practice guideline; priority journal; questionnaire; reimbursement; Singapore; Taiwan; Viet Nam; virus resistance; Australia; economics; gastroenterology; Hepatitis B, Chronic; New Zealand; protocol compliance; reimbursement; statistics and numerical data; Antiviral Agents; Asia; Australia; Federal Government; Gastroenterology; Government Agencies; Guideline Adherence; Health Policy; Hepatitis B, Chronic; Humans; Insurance, Health, Reimbursement; New Zealand; Practice Guidelines as Topic; Surveys and Questionnaires |
顯示於: | 臨床醫學研究所 |
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