[1]陈馨仪,符 晓,王安石,等.罕见病患者治疗及保障研究[J].卫生经济研究,2020,(09):40-42,46.
 CHEN Xin-yi,FU Xiao,WANG An-shi,et al.Research on the Treatment and Guarantee of Patients with Rare Diseases[J].Journal Press of Health Economics Research,2020,(09):40-42,46.
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罕见病患者治疗及保障研究
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卫生经济研究[ISSN:1004-7778/CN:33-1056/F]

卷:
期数:
2020年09期
页码:
40-42,46
栏目:
卫生服务
出版日期:
2020-08-26

文章信息/Info

Title:
Research on the Treatment and Guarantee of Patients with Rare Diseases
作者:
陈馨仪1符 晓1王安石2李春生2张 滨1
1.重庆医科大学公共卫生与管理学院,医学与社会发展研究中心,健康领域社会风险预测治理协同创新中心,重庆 400016
2.重庆市医疗保险研究会,重庆 401120
Author(s):
CHEN Xin-yiFU XiaoWANG An-shiLI Chun-shengZHANG Bin
School of Public Health and Management, Research Center for Medicine and Social Development,Innovation Center for Social Risk Governance in Health,Chongqing Medical University,Chongqing 400016,China
关键词:
罕见病医疗保障用药可及性
Keywords:
rare diseasesmedical securityaccess to medication
分类号:
R197.1
文献标志码:
A
摘要:
目的:探索罕见病患者治疗和保障面临的主要困境及需求。方法:采用半结构式访谈法,访谈13位罕见病患者,运用Colaizzi 7 步分析法分析访谈资料。结果:罕见病患者面临的主要问题有:疾病临床诊治手段缺乏,医疗资源分布不均;用药可及性差且费用昂贵,医疗保障能力不足,患者经济负担沉重;社会支持基础薄弱。结论:尽快建立健全科学合理的罕见病保障体系,为罕见病患者提供生理、心理、社会等多个维度的支持,予以罕见病患者群体更多关注。
Abstract:
Objective To explore the main dilemmas and demands faced by patients with rare diseases in treatment and security.Methods The semi-structured interview method was used to interview 13 patients with rare diseases,and the interview data were analyzed using the Colaizzi 7-step analysis method.Results The main problems faced by patients with rare diseases including lack of clinical disease diagnosis and treatment,unbalanced distribution of medical resources,poor access to rare drugs and expensive fees,insufficient capabilities of medical security,heavy financial burden on patients,and weak foundation of social support.Conclusion To establish and improve a scientific and reasonable guarantee system for rare diseases as soon as possible,provide physical,psychological,and social support for patients with rare diseases,and give more attention to groups of patients with rare diseases.

参考文献/References:

[1] 邹丽萍.罕见病从医务工作者的努力开始让我们的爱不罕见[J].中华儿科杂志,2014,52(11):804-805.
[2] 丁若溪,张蕾,赵艺皓,等.罕见病流行现状——一个极弱势人口的健康危机[J].人口与发展,2018,24(1):72-84.
[3] 邵文斌,李杨阳,王菲,等.中国罕见病药品可及性现状及解决建议[J].中国食品药品监管,2019(2):8-15.
[4] 张玲,翟晓梅.罗尔斯正义论视角下的罕见病卫生政策问题[J].中国医学伦理学,2011,24(2):141-143.
[5] 胡善联.国内外罕见病的保障政策研究[J].卫生经济研究,2018(5):3-5.
[6] 丁洁,王琳.中国罕见病研究报告 (2018) [M].北京:中国医药科技出版社,2018:33.
[7] 赵艺皓,王翔宇,丁若溪,等.罕见病疾病负担研究进展与医疗保障政策的方向抉择[J].中国卫生事业管理,2018,35(9):644-648, 656.
[8] 吴皓.中国耳鼻咽喉头颈外科罕见病诊治现状[J].临床耳鼻咽喉头颈外科杂志,2019,33(9):793-798.
[9] 肖建华,王超群.罕见病防治和保障的支持体系:台湾的经验与启示[J].社会保障研究,2018(2):92-105.
[10] 冀希炜,梁家彬,季双敏.罕见病治疗国内外的研究现状[J].中国临床药理学杂志,2019,35(3):305-308.
[11] 袁妮,田婷婷,张海军,等.英国罕见病用药纳入报销体系的主要途径及对我国的启示[J].中国药科大学学报,2019,50(1):113-119.
[12] 孙思萌,孙梦婷,王高玲.基于政策工具量化分析的我国罕见病医药保障政策研究[J].现代医院管理,2019,17(5):28-31,63.

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更新日期/Last Update: 2020-08-26