MALİYET ETKİNLİK VE AHLAKİ PERSPEKTİF KARMASI İLE KANSER TEDAVİSİNDE TERCİH GELİŞTİRME: ABD ÖRNEĞİ

Dünyada sağlık harcamaları yükselme eğilimdedir ve ekonomik pastadan her geçen gün daha büyük pay almaktadır. Kaynakların dağıtımı, kısıtlı kaynaklar altında önem kazanmaktadır. Kanser, ölümün önde gelen sebeplerinden biridir ve her geçen yıl kanser tedavisine harcanan para artış göstermektedir. Bugün, kanser tedavisi ve ilaçları, yüksek maliyetine rağmen kısıtlı bir fayda sağlamaktadır. Bu yüzden, sadece kısıtlı sayıda insan tedaviden faydalanmakta ve az sayıda tedavi ve ilaç geri ödeme kapsamındadır. Ayrıca, birçok ülke bir ilaç ya da tedavinin geri ödenip ödenmemesine karar verme konusunda bir standarda sahip değildir. Sağlık faydalarını maksimize etmek ve kaynakları adil dağıtmak için geri ödeme sürecinde hem ekonomik etkililik (maliyet etkinlik analizi) hem de ahlaki etkenler büyük önem arzetmektedir. 

IMPROVING DECISION MAKING IN CANCER TREATMENT WITH A MIX OF COST-EFFECTIVENESS ANALYSIS AND ETHICAL PERSPECTIVE: USA EXAMPLE

In the world, healthcare costs have been on the rise and getting larger share in the economic pie. Since we have limited resources, allocation of resources becomes more of an issue. Cancer is one of most leading causes of death in the world and each year, money spent on cancer treatment goes up. However, today new cancer drugs and treatment only provide narrow benefit with very high costs. Therefore, only limited number of people enjoys getting the treatment and fewer treatment or drugs are reimbursed. In addition, many countries do not have a standard to decide whether a cancer drug or a treatment will be covered. Considering both economic efficiency (cost-effectiveness analysis) and ethical issues together during the decision process is of great importance so as to distribute health resources fairly and maximize health benefits

Kaynakça

Centers for Medicare and Medicaid Services. 2013. Office of the Actuary, National Health Statistics Group. National Health Care Expenditures Data. February 2013.

Schnipper L. Meropol N. and Brock D. 2010. Value and cancer care: Toward an equitable future. Clinical Cancer Research 2010. 16:6004- 08.

Brock D. 1997. Considerations of equity in relation to prioritization and allocation of health care resources. Ethics, Equity and Health For All. Geneva: WHO and CIOMS.

Pliskin J. S. Shepard D. S. and Weinstein M. C. 1980. Utility functions for life years and health status. Operations Research 28: 206–24.

Devlin N. and Parkin D. 2004. Does NICE have a cost-effectiveness threshold and what other factors influence its decisions? A binary choice analysis. Health Economics 13 (5): 437–52.

Brock D. 2003a. Separate spheres and indirect benefits cost- effectiveness and resource allocation. Cost Effectiveness and Resource Allocation. 1: 4. 114.

Rawls J. 1971. A Theory of Justice. Cambridge, MA: Harvard University Press.

Pinkerton S. Johnson-Masotti A. Derse A. amd Layde P. 2002. Ethical issues in cost-effectiveness analysis. Evaluation and Program Planning. Vol. 25. 1: 71-83

Fox J. 2005. Medicare should, but cannot, consider costs: Legal impediments to a sound policy. Buffalo Law Rev.53:577–633.

Brock D. 2010. Ethical and value issues in insurance coverage for cancer treatment. The Oncologists. 15(suppl 1):36–42

Brock D.2003b. Ethical issues in the use of cost effectiveness analysis for the prioritization of health care resources. In Making Choices in Health: WHO Guide to Cost-Effectiveness Analysis, Geneva:World Health Organization.

Brock D. 2002. Priority to the worst off in health care resource prioritization. In: Battin M. Rhodes R. Silvers A. Medicine and Social Justice. New York: Oxford University Press:362–72.

Daniels N. 1993. Rationing fairly: Programmatic considerations. Bioethics 7 (2–3): 224–33.

Gold M. Siegel J. Weinstein M. and Russell L. 1996. Cost- Effectiveness inHealth and Medicine. NewYork: Oxford University Press.

Daniels N. 1988. Am I my parents’ keeper? An essay on justice between the young and the old. New York: Oxford University Press.

Kaynak Göster

Bibtex @araştırma makalesi { sosyalguvence172305, journal = {Sosyal Güvence}, issn = {2146-5649}, eissn = {2687-332X}, address = {}, publisher = {Sosyal Güvenlik Uzmanları Derneği}, year = {2013}, volume = {0}, pages = {18 - 28}, doi = {}, title = {IMPROVING DECISION MAKING IN CANCER TREATMENT WITH A MIX OF COST-EFFECTIVENESS ANALYSIS AND ETHICAL PERSPECTIVE: USA EXAMPLE}, key = {cite}, author = {Gürsoy, Kadir} }
APA Gürsoy, K . (2013). IMPROVING DECISION MAKING IN CANCER TREATMENT WITH A MIX OF COST-EFFECTIVENESS ANALYSIS AND ETHICAL PERSPECTIVE: USA EXAMPLE . Sosyal Güvence , 0 (4) , 18-28 . Retrieved from https://dergipark.org.tr/tr/pub/sosyalguvence/issue/16497/172305
MLA Gürsoy, K . "IMPROVING DECISION MAKING IN CANCER TREATMENT WITH A MIX OF COST-EFFECTIVENESS ANALYSIS AND ETHICAL PERSPECTIVE: USA EXAMPLE" . Sosyal Güvence 0 (2013 ): 18-28 <https://dergipark.org.tr/tr/pub/sosyalguvence/issue/16497/172305>
Chicago Gürsoy, K . "IMPROVING DECISION MAKING IN CANCER TREATMENT WITH A MIX OF COST-EFFECTIVENESS ANALYSIS AND ETHICAL PERSPECTIVE: USA EXAMPLE". Sosyal Güvence 0 (2013 ): 18-28
RIS TY - JOUR T1 - IMPROVING DECISION MAKING IN CANCER TREATMENT WITH A MIX OF COST-EFFECTIVENESS ANALYSIS AND ETHICAL PERSPECTIVE: USA EXAMPLE AU - Kadir Gürsoy Y1 - 2013 PY - 2013 N1 - DO - T2 - Sosyal Güvence JF - Journal JO - JOR SP - 18 EP - 28 VL - 0 IS - 4 SN - 2146-5649-2687-332X M3 - UR - Y2 - 2020 ER -
EndNote %0 Sosyal Güvence IMPROVING DECISION MAKING IN CANCER TREATMENT WITH A MIX OF COST-EFFECTIVENESS ANALYSIS AND ETHICAL PERSPECTIVE: USA EXAMPLE %A Kadir Gürsoy %T IMPROVING DECISION MAKING IN CANCER TREATMENT WITH A MIX OF COST-EFFECTIVENESS ANALYSIS AND ETHICAL PERSPECTIVE: USA EXAMPLE %D 2013 %J Sosyal Güvence %P 2146-5649-2687-332X %V 0 %N 4 %R %U
ISNAD Gürsoy, Kadir . "IMPROVING DECISION MAKING IN CANCER TREATMENT WITH A MIX OF COST-EFFECTIVENESS ANALYSIS AND ETHICAL PERSPECTIVE: USA EXAMPLE". Sosyal Güvence 0 / 4 (Ağustos 2013): 18-28 .
AMA Gürsoy K . IMPROVING DECISION MAKING IN CANCER TREATMENT WITH A MIX OF COST-EFFECTIVENESS ANALYSIS AND ETHICAL PERSPECTIVE: USA EXAMPLE. Sosyal Güvence. 2013; 0(4): 18-28.
Vancouver Gürsoy K . IMPROVING DECISION MAKING IN CANCER TREATMENT WITH A MIX OF COST-EFFECTIVENESS ANALYSIS AND ETHICAL PERSPECTIVE: USA EXAMPLE. Sosyal Güvence. 2013; 0(4): 18-28.