To improve the accessibility of hepatitis B treatment
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摘要: 我国慢性乙型肝炎负担严重,估计慢性乙型肝炎为9000万例,其中700万例为慢性乙型肝炎引起的进展期肝病和肝癌高危患者,他们急需治疗。但目前仅约10%慢性乙型肝炎患者接受抗病毒治疗。为了提高慢性乙型肝炎患者抗病毒治疗的可及性,应降低抗病毒药物的价格、将抗病毒药物纳入国家基本药物目录,以及住院和门诊慢性乙型肝炎患者可医保报销,并采取药物降价机制如驳回某些影响公共卫生和医保政策的国外药品专利注册、启动政府与药厂谈判统一的药品价格等。Abstract: The burden of chronic hepatitis B is substantial in China.An estimated 90 million people are living with chronic hepatitis B.About 7.4 million people are at high risk of advance stage liver disease and cancer due to chronic hepatitis B and who urgently require treatment.However,only 12.5% of chronic hepatitis B patients are receiving antiviral treatment at present.In order to improve the accessibility of antiviral treatment for chronic hepatitis B we should decrease the price of antiviral drugs;to bring antiviral drugs into the national essential drugs list;to include antiviral drugs in both inpatient and outpatient reimbursement category;to apply the mechanisms for drug price reduction such as rejecting the patent registration for drugs with public health risk and harm to welfare policy;initiating government unified price negotiations with drug companies.
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Key words:
- viral hepatitis /
- hepatitis /
- type B /
- hepatitis B virus /
- treatment
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[1] WHO.Draft Global Health Sector Strategy on Viral Hepatitis 2016-2021[R].Geneva,World Health Organization,2015. [2] WHO.The silent epidemic of chronic hepatitis B and C in China:Investing in treatment saves money and saves lives[R].Beijing,World Health Organization,2016. [3] UN.Sustainable Development Goals.2015[EB/OL].http://www.un.org/sustainabldevelopment/health/. [4] Joint Society Statement for Elimination of Viral Hepatitis[EB/OL].http://www.easl.eu/_education/webcasts. [5] REVILL P,TESTONI B,LOCARNINI S,et al.Global strategies are required to cure and eliminate HBV infection[J].Nat Rev Gastroenterol Hepatol,2016,13(4):239-248. [6] Eliminating the public Health problem of hepatitis B and C in the U-nited States:phase one report[R/OL].(2016-04-11).http://www.nas.edu/Hepatitis Elimination [7] LOCARNINI S,CHEN DS,SHIBUYA K.No more excuses:Viral hepatitis can be eliminated[EB/OL].http://www.cevhap.org.
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