High Insurance Coverage and Financial Support for Effective Cancer Drugs in I.R. Iran

Background: In recent years, financial coverage and availability of new and expensive cancer drugs have changed into one of the challenges of the health system, especially in low-income and middle-income countries,. We studied the availability ofanticancer drugs, insurance coverage and the financial...

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Main Authors: Alireza Darrudi, Rajabali Daroudi
Format: Article
Language:English
Published: Tehran University of Medical Sciences 2018-07-01
Series:Basic & Clinical Cancer Research
Subjects:
Online Access:https://bccr.tums.ac.ir/index.php/bccrj/article/view/276
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author Alireza Darrudi
Rajabali Daroudi
author_facet Alireza Darrudi
Rajabali Daroudi
author_sort Alireza Darrudi
collection DOAJ
description Background: In recent years, financial coverage and availability of new and expensive cancer drugs have changed into one of the challenges of the health system, especially in low-income and middle-income countries,. We studied the availability ofanticancer drugs, insurance coverage and the financial burden of these drugs in Iran. Methods: In this cross-sectional descriptive study, first, we listed effective cancer drugs according to the World Health Organization’s Model List of Essential Medicinesand previous studies. Then, we evaluated financial burden of these drugs byusing the available data in Iran pharmaceutical Pharmacopoeia, the national pharmaceuticalsales statistics database (pharmaceutical Amarnameh), and inquiry of the insurance organizations, the availability, insurance coverage in Iran. Excel softwarewas used for data analysis. Results: All of the medicines incorporated into the latest version of the WHO Model List of Essential Medicines were available in Iran, and, except for Bendamustine and Anastrazole all medicines were covered by insurance. In addition, of the 19 drugs,those were not on the WHO Model List of Essential Medicines, there were sevendrugs in Iran, insurance covered that six drugs. The total Dollar sales of the studied cancer drugs amounted to US$350.85 million in 2015 and US$384.96 million in 2016. Conclusion: It seems that the status of access to effective cancer drugs in Iran is better than many low and middle-income countries. However, since the cost of cancerdrugs is rising, health policy makers inevitably need to prioritize cancer drugs by using the results of health technology assessment methods and provide patients withaccess to drugs that are cost-effective in order to the optimal allocation of limited resources and provide maximum access to cancer drugs throughout the country.
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spelling doaj.art-146f0ff01fa9482a9082a979eed0a1c02022-12-21T20:12:09ZengTehran University of Medical SciencesBasic & Clinical Cancer Research2228-65272228-54662018-07-01103High Insurance Coverage and Financial Support for Effective Cancer Drugs in I.R. IranAlireza Darrudi0Rajabali Daroudi1Master of Sciences Student in Health Economics, Health Management and Economics Department, Students Scientific Research Center, School of Public Health, Tehran University of Medical Sciences, Tehran, IranHealth Economics, Health Management and Economics Department, School of Public Health, Tehran University of Medical Sciences, Tehran, IranBackground: In recent years, financial coverage and availability of new and expensive cancer drugs have changed into one of the challenges of the health system, especially in low-income and middle-income countries,. We studied the availability ofanticancer drugs, insurance coverage and the financial burden of these drugs in Iran. Methods: In this cross-sectional descriptive study, first, we listed effective cancer drugs according to the World Health Organization’s Model List of Essential Medicinesand previous studies. Then, we evaluated financial burden of these drugs byusing the available data in Iran pharmaceutical Pharmacopoeia, the national pharmaceuticalsales statistics database (pharmaceutical Amarnameh), and inquiry of the insurance organizations, the availability, insurance coverage in Iran. Excel softwarewas used for data analysis. Results: All of the medicines incorporated into the latest version of the WHO Model List of Essential Medicines were available in Iran, and, except for Bendamustine and Anastrazole all medicines were covered by insurance. In addition, of the 19 drugs,those were not on the WHO Model List of Essential Medicines, there were sevendrugs in Iran, insurance covered that six drugs. The total Dollar sales of the studied cancer drugs amounted to US$350.85 million in 2015 and US$384.96 million in 2016. Conclusion: It seems that the status of access to effective cancer drugs in Iran is better than many low and middle-income countries. However, since the cost of cancerdrugs is rising, health policy makers inevitably need to prioritize cancer drugs by using the results of health technology assessment methods and provide patients withaccess to drugs that are cost-effective in order to the optimal allocation of limited resources and provide maximum access to cancer drugs throughout the country.https://bccr.tums.ac.ir/index.php/bccrj/article/view/276Accessibilityinsurance coveragefinancial burdencancer drugs
spellingShingle Alireza Darrudi
Rajabali Daroudi
High Insurance Coverage and Financial Support for Effective Cancer Drugs in I.R. Iran
Basic & Clinical Cancer Research
Accessibility
insurance coverage
financial burden
cancer drugs
title High Insurance Coverage and Financial Support for Effective Cancer Drugs in I.R. Iran
title_full High Insurance Coverage and Financial Support for Effective Cancer Drugs in I.R. Iran
title_fullStr High Insurance Coverage and Financial Support for Effective Cancer Drugs in I.R. Iran
title_full_unstemmed High Insurance Coverage and Financial Support for Effective Cancer Drugs in I.R. Iran
title_short High Insurance Coverage and Financial Support for Effective Cancer Drugs in I.R. Iran
title_sort high insurance coverage and financial support for effective cancer drugs in i r iran
topic Accessibility
insurance coverage
financial burden
cancer drugs
url https://bccr.tums.ac.ir/index.php/bccrj/article/view/276
work_keys_str_mv AT alirezadarrudi highinsurancecoverageandfinancialsupportforeffectivecancerdrugsiniriran
AT rajabalidaroudi highinsurancecoverageandfinancialsupportforeffectivecancerdrugsiniriran