Chi phí thảm họa mà hộ gia đình và người bệnh có thẻ Bảo hiểm y tế phải gánh chịu do điều trị ung thư phổi tại Bệnh viện K năm 2020

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Tác giả: Quỳnh Anh Nguyễn, Tiến Quang Nguyễn, Ngọc Sơn Phan

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Khoa học Nghiên cứu Sức khỏe và Phát triển, 2022

Mô tả vật lý: tr.40-49

Bộ sưu tập: Metadata

ID: 337276

Thêm vào giỏ Liên kết toàn văn

Mục tiêu: Tính toán tỷ lệ hộ gia đình của người bệnh có thẻ Bảo hiểm y tế phải gánh chịu chi phí thảm họa do điều trị bệnh ung thư phổi tại Bệnh viện K năm 2020. Phương pháp nghiên cứu: Mô tả cắt ngang trên 102 người bệnh ung thư phổi đã điều trị liên tục tối thiểu 1 năm tại Bệnh viện K. Kết quả: Có 89,2% Hộ gia đình phải gánh chịu chi phí thảm họa ở ngưỡng 20%
62,7% Hộ gia đình gánh chịu chi phí thảm họa ở ngưỡng 40%. Người bệnh ở giai đoạn IV có tỷ lệ Hộ gia đình phải gánh chịu chi phí thảm họa ở ngưỡng 40% bằng 0,292 người bệnh ở giai đoạn II-III. Có đến 36,3% người bệnh đã từng thiếu hoặc không thể chi trả tiền khám chữa bệnh, 29,4% người bệnh từng tiếu hoặc không thể chi trả tiền thuốc, 62,7% người bệnh phải vay mượn bạn bè, người thân và 42,2% người bệnh phải sử dụng tiền tiết kiệm cho mục đích khác để trang trải các chi phí khi điều trị ung thư phổi. Kết luận: Dù có thẻ Bảo hiểm y tế nhưng tỷ lệ Hộ gia đình và người bệnh phải gánh chịu chi phí thảm họa do điều trị ung thư phổi tại Bệnh viện K năm 2020 chiếm tỷ trọng lớn. Cần tăng cường các hoạt động truyền thông khuyến khích người dân tham gia Bảo hiểm y tế liên tục, nâng cao tỷ lệ khám sàng lọc, phát hiện sớm ung thư, bên cạnh đó cần mở rộng danh mục thuộc phạm vi thanh toán của Quỹ Bảo hiểm y tế cũng như tăng cường hiệu quả công tác đàm phán giá thuốc ung thư để giảm gánh nặng kinh tế cho người bệnh.Objective: To estimate the percentage of households of lung cancer patients with health insurance that suﬀer catastrophic health expenditure at National Cancer Hospital in 2020. Methods: A cross-sectional study on 102 lung cancer patients who have been treated continuously for at least 1 year at the hospital. Results: There is 89.2% of Households experienced fnancial catastrophe at 20% threshold, 62.7% at 40% threshold. Households of patients in stage IV experienced fnancial catastrophe at 40% equal to 0.292 patients in stage II-III. Up to 36.3% of patients have ever lacked or could not pay for medical examination and treatment, 29.4% of patients used to spend or could not pay for drugs, 62.7% of patients had to borrow from relatives, or friends
and 42.2% of patients had to use their savings for other purposes to cover the costs of lung cancer treatment. Conclusion: Despite having health insurance, the proportion of households and lung cancer patients experienced fnancial catastrophe at National Cancer Hospital in 2020 accounts for a large proportion. It is necessary to strengthen communication activities to encourage people to participate in continuously health insurance scheme, improve the rate of screening and early detection of cancer. In addition, it is necessary to expand the list under the payment scope of the Health Insurance Fund as well as enhancing the eﬀectiveness of cancer drug price negotiation to reduce the economic burden for patients.

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