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Sökning: (WFRF:(Zalcberg John)) > (2011) > Delivering affordab...

LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00004562naa a2200709 4500
001oai:DiVA.org:umu-49267
003SwePub
008111104s2011 | |||||||||||000 ||eng|
0247 a https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-492672 URI
0247 a https://doi.org/10.1016/S1470-2045(11)70141-32 DOI
040 a (SwePub)umu
041 a engb eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
1001 a Sullivan, Richard4 aut
2451 0a Delivering affordable cancer care in high-income countries
264 1a London :b Lancet Oncology,c 2011
338 a print2 rdacarrier
520 a The burden of cancer is growing, and the disease is becoming a major economic expenditure for all developed countries. In 2008, the worldwide cost of cancer due to premature death and disability (not including direct medical costs) was estimated to be US$895 billion. This is not simply due to an increase in absolute numbers, but also the rate of increase of expenditure on cancer. What are the drivers and solutions to the so-called cancer-cost curve in developed countries? How are we going to afford to deliver high quality and equitable care? Here, expert opinion from health-care professionals, policy makers, and cancer survivors has been gathered to address the barriers and solutions to delivering affordable cancer care. Although many of the drivers and themes are specific to a particular field-eg, the huge development costs for cancer medicines-there is strong concordance running through each contribution. Several drivers of cost, such as over-use, rapid expansion, and shortening life cycles of cancer technologies (such as medicines and imaging modalities), and the lack of suitable clinical research and integrated health economic studies, have converged with more defensive medical practice, a less informed regulatory system, a lack of evidence-based sociopolitical debate, and a declining degree of fairness for all patients with cancer. Urgent solutions range from re-engineering of the macroeconomic basis of cancer costs (eg, value-based approaches to bend the cost curve and allow cost-saving technologies), greater education of policy makers, and an informed and transparent regulatory system. A radical shift in cancer policy is also required. Political toleration of unfairness in access to affordable cancer treatment is unacceptable. The cancer profession and industry should take responsibility and not accept a substandard evidence base and an ethos of very small benefit at whatever cost; rather, we need delivery of fair prices and real value from new technologies.
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Cancer och onkologi0 (SwePub)302032 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Cancer and Oncology0 (SwePub)302032 hsv//eng
7001 a Peppercorn, Jeffrey4 aut
7001 a Sikora, Karol4 aut
7001 a Zalcberg, John4 aut
7001 a Meropol, Neal J.4 aut
7001 a Amir, Eitan4 aut
7001 a Khayat, David4 aut
7001 a Boyle, Peter4 aut
7001 a Autier, Philippe4 aut
7001 a Tannock, Ian F.4 aut
7001 a Fojo, Tito4 aut
7001 a Siderov, Jim4 aut
7001 a Williamson, Steve4 aut
7001 a Camporesi, Silvia4 aut
7001 a McVie, J. Gordon4 aut
7001 a Purushotham, Arnie D.4 aut
7001 a Naredi, Peter,d 1955-u Umeå universitet,Kirurgi4 aut0 (Swepub:umu)pena0001
7001 a Eggermont, Alexander4 aut
7001 a Brennan, Murray F.4 aut
7001 a Steinberg, Michael L.4 aut
7001 a De Ridder, Mark4 aut
7001 a McCloskey, Susan A.4 aut
7001 a Verellen, Dirk4 aut
7001 a Roberts, Terence4 aut
7001 a Storme, Guy4 aut
7001 a Hicks, Rodney J.4 aut
7001 a Ell, Peter J.4 aut
7001 a Hirsch, Bradford R.4 aut
7001 a Carbone, David P.4 aut
7001 a Schulman, Kevin A.4 aut
7001 a Catchpole, Paul4 aut
7001 a Taylor, David4 aut
7001 a Geissler, Jan4 aut
7001 a Brinker, Nancy G.4 aut
7001 a Meltzer, David4 aut
7001 a Kerr, David4 aut
7001 a Aapro, Matti4 aut
7102 a Umeå universitetb Kirurgi4 org
7730 t The Lancet Oncologyd London : Lancet Oncologyg 12:10, s. 933-980q 12:10<933-980x 1470-2045x 1474-5488
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-49267
8564 8u https://doi.org/10.1016/S1470-2045(11)70141-3

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