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新华社北京9月15日电(记者 齐中熙)上海市肺部肿瘤临床医学中心主任陆舜教授15日表示,《健康中国2030规划纲要》中提出,到2030年,实现总体癌症5年生存率提高15%的目标。随着全国20多个省市调整医保目录,将切实惠及更多肺癌患者。
继今年2月份我国国家基本医保目录进行调整,以及7月份人社部首次国家医保药品谈判准入结果公布之后,目前北京、浙江、安徽、江苏、湖北、湖南、吉林、新疆、重庆、辽宁、内蒙古、宁夏等20多个省区市人社部门公布,9月1日起同步落实国家新医保目录。由此,这些地区率先完成省(市)级医保目录调整并与国家医保目录衔接。
据统计,在2017新版国家基本医保目录中,重点纳入肿瘤、重性精神病、血友病、糖尿病、心脑血管疾病等重大疾病常用药品,肿瘤药物占20余种,涉及肺癌、胃癌等常见肿瘤。
“晚期肺癌的传统一线治疗以化疗为主,但患者的平均缓解率仅为35%,生存期仅8-10个月。且化疗方案常伴有明显的毒副作用,严重影响患者的生活质量,增加公共医疗负担。”陆舜说。
他介绍,此次被纳入国家医保目录的一代肺癌靶向药物,主要是针对表皮生长因子受体突变的非小细胞肺癌患者。研究显示,与传统化疗相比,使用吉非替尼等肺癌靶向治疗,能够显著延长肿瘤的复发时间。患者可以在家自行口服治疗,免去住院治疗的麻烦,且毒副作用更低。
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