臨床リウマチ
Online ISSN : 2189-0595
Print ISSN : 0914-8760
ISSN-L : 0914-8760
誌上ワークショップ 実地医による最新リウマチ治療とその工夫
生物学的製剤治療における診療報酬
松野 博明
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ジャーナル フリー

2009 年 21 巻 4 号 p. 416-423

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    Recently, the rheumatoid arthritis (RA) patient treated with biologic agents is increasing in Japan. Effectiveness of biologic therapy is remarkably excellent as compared with the existing RA treatment. However, biologic therapy has some problems, representative problems are serious adverse reactions and expensive medical fee. Expensive medical fee is the problem of both a patient and a clinic owner. As compared with the advanced nations, the prices of Japanese biological drugs except remicade are inexpensive, but copayment is expensive in Japan. Sincemedical fee is mostly covered by the medical insurance, a copayment is almost gratuitous or low price in advanced nations. On the other hand, there is compulsory insurance system in Japan and all the people is subscriber of medical insurance. However, the majority of insured patients have to pay 30% of medical fee as a copayment. Therefore, some Japanese patients cannot be treated with biologic agents, since expensive medical fee cannot be defraied. Although a biologic therapy requires extra costs, such as an exclusive drip infusion room and personnel expenses, only insufficient medical treatment fee is given to a clinic owner. The medical care system of the RA biologic therapy in outpatient clinic is still insufficient in Japan.
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© 2009 一般社団法人日本臨床リウマチ学会
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