Optimisation du bon usage et maîtrise des coûts des médicaments anticancéreux : expérience de l’Observatoire dédié au Cancer Bretagne – Pays-de-la-Loire
| Autor: | Anne-Marie Vidal, F. Grude, Christian Riche, Jean-Philippe Metges, Jean-Yves Douillard, Réjane Bessard, Erik Gamelin, Hugues Bourgeois |
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| Rok vydání: | 2013 |
| Předmět: |
Cancer Research
Thesaurus (information retrieval) education.field_of_study biology business.industry Population Euros Hematology General Medicine Health economy medicine.disease biology.organism_classification Clinical Practice Oncology Health care medicine Radiology Nuclear Medicine and imaging Business Medical emergency Medical prescription education Medical ethics |
| Zdroj: | Bulletin du Cancer. 100:271-282 |
| ISSN: | 0007-4551 |
| DOI: | 10.1684/bdc.2013.1715 |
| Popis: | Optimizing the care management of patients is a major issue for our society. In Brittany-Pays-de-la-Loire (almost 10% of French population), an observatory of cancer has been created in 2003. Its main objective was the follow-up of expensive drugs. The knowledge of the use of these drugs in clinical practice has led to development of a thesaurus of good use. Thus, regular exchanges between clinicians have almost totally reduced not medically justified prescriptions by the thesaurus after and before administration to patient. The thesaurus has given away to national guidelines from 2007. For example, in these two regions, optimization of the use of gemcitabine and bevacizumab has allowed to save respectively 2.5 millions euros between 2005 and 2008 and 3 millions euros between 2009 and 2010 (breast cancer only). Optimizing the use of anticancer drugs has allowed a real health economy without any bad impact on patient management. Respecting medical ethics, the main objective remains to optimize health care. This highly participation of clinicians currently allows to reflect together on the relevance of the last chemotherapy. |
| Databáze: | OpenAIRE |
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