Reimbursement policies in the Asia-Pacific for chronic hepatitis B

Seng Gee Lim, Deepak N. Amarapurkar, Henry Lik Yuen Chan, Darrell H. Crawford, Edward J. Gane, Kwang Hyub Han, Sang Hoon Ahn, Wasim Jafri, Jidong Jia, Jia Horng Kao, Laurentius A. Lesmana, C. Rinaldi A. Lesmana, Rosmawati Mohamed, Pham Hoang Phiet, Teerha Piratvisuth, Shiv K. Sarin, Jose D. Sollarno, Yuichiro Eguchi, Mamun Al Mahtab, Keat Hong Lee

Research output: Contribution to journalArticle

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Abstract

Background: There is considerable variation in reimbursement policies in Asian countries and this is likely to have an impact on treatment practice for chronic hepatitis B (CHB). Consequently a survey of leading hepatologists was performed to evaluate such policies and their impact on management of CHB in the Asia Pacific region.Methods: A questionnaire was sent to key hepatologists in Asia Pacific for information on CHB reimbursement policy—its nature, coverage, funding source, duration, review strategy and impact on Asia Pacific Association for the Study of the Liver (APASL) CHB guidelines. The results were analysed and described.Results: Leading hepatologists from 16 Asia Pacific countries responded. Almost all of the countries have reimbursement policies but eligibility varied from only a limited group (e.g. civil servants only) to universal access. In most instances reimbursement was from the central government (except China, Pakistan and Hong Kong). Reimbursement policies were usually created by Ministry of Health committees, who received input from medical professionals, although they may not be aware of the APASL guidelines. Policies were limited by available resources, funds and prioritization. Where there was a regular review this occurred between 1 and 5 years. The quantum of reimbursement varied from 50 % in Singapore to 100 % in the majority of other countries. The criteria for treatment reimbursement were based on doctor’s opinion alone (Bangladesh, India, Pakistan, Philippines, Singapore and Vietnam) or specific clinical/laboratory criteria in the rest of the countries. In general, most countries offered unlimited duration for reimbursement except Taiwan, Indonesia and Pakistan. Monitoring tests for treatment response were reimbursed in all countries other than Vietnam. Viral resistance was diagnosed by viral or biochemical breakthrough, and viral resistance testing was uncommon. The main rescue therapy was adefovir.Conclusion: Reimbursement policies differed from country to country, the quantum and the proportion of patients who received reimbursement also varied significantly. Asia Pacific countries were able to follow APASL guidelines with variable success based on their reimbursement policies.

Original languageEnglish
Pages (from-to)43-51
Number of pages9
JournalHepatology International
Volume9
Issue number1
DOIs
Publication statusPublished - 2015 Jan 1

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Chronic Hepatitis B
Pakistan
Vietnam
Singapore
Guidelines
Liver
Philippines
Bangladesh
Indonesia
Hong Kong
Financial Management
Therapeutics
Taiwan
India
China
Health
Gastroenterologists

All Science Journal Classification (ASJC) codes

  • Hepatology

Cite this

Lim, S. G., Amarapurkar, D. N., Chan, H. L. Y., Crawford, D. H., Gane, E. J., Han, K. H., ... Lee, K. H. (2015). Reimbursement policies in the Asia-Pacific for chronic hepatitis B. Hepatology International, 9(1), 43-51. https://doi.org/10.1007/s12072-014-9593-x
Lim, Seng Gee ; Amarapurkar, Deepak N. ; Chan, Henry Lik Yuen ; Crawford, Darrell H. ; Gane, Edward J. ; Han, Kwang Hyub ; Ahn, Sang Hoon ; Jafri, Wasim ; Jia, Jidong ; Kao, Jia Horng ; Lesmana, Laurentius A. ; Lesmana, C. Rinaldi A. ; Mohamed, Rosmawati ; Phiet, Pham Hoang ; Piratvisuth, Teerha ; Sarin, Shiv K. ; Sollarno, Jose D. ; Eguchi, Yuichiro ; Mahtab, Mamun Al ; Lee, Keat Hong. / Reimbursement policies in the Asia-Pacific for chronic hepatitis B. In: Hepatology International. 2015 ; Vol. 9, No. 1. pp. 43-51.
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abstract = "Background: There is considerable variation in reimbursement policies in Asian countries and this is likely to have an impact on treatment practice for chronic hepatitis B (CHB). Consequently a survey of leading hepatologists was performed to evaluate such policies and their impact on management of CHB in the Asia Pacific region.Methods: A questionnaire was sent to key hepatologists in Asia Pacific for information on CHB reimbursement policy—its nature, coverage, funding source, duration, review strategy and impact on Asia Pacific Association for the Study of the Liver (APASL) CHB guidelines. The results were analysed and described.Results: Leading hepatologists from 16 Asia Pacific countries responded. Almost all of the countries have reimbursement policies but eligibility varied from only a limited group (e.g. civil servants only) to universal access. In most instances reimbursement was from the central government (except China, Pakistan and Hong Kong). Reimbursement policies were usually created by Ministry of Health committees, who received input from medical professionals, although they may not be aware of the APASL guidelines. Policies were limited by available resources, funds and prioritization. Where there was a regular review this occurred between 1 and 5 years. The quantum of reimbursement varied from 50 {\%} in Singapore to 100 {\%} in the majority of other countries. The criteria for treatment reimbursement were based on doctor’s opinion alone (Bangladesh, India, Pakistan, Philippines, Singapore and Vietnam) or specific clinical/laboratory criteria in the rest of the countries. In general, most countries offered unlimited duration for reimbursement except Taiwan, Indonesia and Pakistan. Monitoring tests for treatment response were reimbursed in all countries other than Vietnam. Viral resistance was diagnosed by viral or biochemical breakthrough, and viral resistance testing was uncommon. The main rescue therapy was adefovir.Conclusion: Reimbursement policies differed from country to country, the quantum and the proportion of patients who received reimbursement also varied significantly. Asia Pacific countries were able to follow APASL guidelines with variable success based on their reimbursement policies.",
author = "Lim, {Seng Gee} and Amarapurkar, {Deepak N.} and Chan, {Henry Lik Yuen} and Crawford, {Darrell H.} and Gane, {Edward J.} and Han, {Kwang Hyub} and Ahn, {Sang Hoon} and Wasim Jafri and Jidong Jia and Kao, {Jia Horng} and Lesmana, {Laurentius A.} and Lesmana, {C. Rinaldi A.} and Rosmawati Mohamed and Phiet, {Pham Hoang} and Teerha Piratvisuth and Sarin, {Shiv K.} and Sollarno, {Jose D.} and Yuichiro Eguchi and Mahtab, {Mamun Al} and Lee, {Keat Hong}",
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Lim, SG, Amarapurkar, DN, Chan, HLY, Crawford, DH, Gane, EJ, Han, KH, Ahn, SH, Jafri, W, Jia, J, Kao, JH, Lesmana, LA, Lesmana, CRA, Mohamed, R, Phiet, PH, Piratvisuth, T, Sarin, SK, Sollarno, JD, Eguchi, Y, Mahtab, MA & Lee, KH 2015, 'Reimbursement policies in the Asia-Pacific for chronic hepatitis B', Hepatology International, vol. 9, no. 1, pp. 43-51. https://doi.org/10.1007/s12072-014-9593-x

Reimbursement policies in the Asia-Pacific for chronic hepatitis B. / Lim, Seng Gee; Amarapurkar, Deepak N.; Chan, Henry Lik Yuen; Crawford, Darrell H.; Gane, Edward J.; Han, Kwang Hyub; Ahn, Sang Hoon; Jafri, Wasim; Jia, Jidong; Kao, Jia Horng; Lesmana, Laurentius A.; Lesmana, C. Rinaldi A.; Mohamed, Rosmawati; Phiet, Pham Hoang; Piratvisuth, Teerha; Sarin, Shiv K.; Sollarno, Jose D.; Eguchi, Yuichiro; Mahtab, Mamun Al; Lee, Keat Hong.

In: Hepatology International, Vol. 9, No. 1, 01.01.2015, p. 43-51.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Reimbursement policies in the Asia-Pacific for chronic hepatitis B

AU - Lim, Seng Gee

AU - Amarapurkar, Deepak N.

AU - Chan, Henry Lik Yuen

AU - Crawford, Darrell H.

AU - Gane, Edward J.

AU - Han, Kwang Hyub

AU - Ahn, Sang Hoon

AU - Jafri, Wasim

AU - Jia, Jidong

AU - Kao, Jia Horng

AU - Lesmana, Laurentius A.

AU - Lesmana, C. Rinaldi A.

AU - Mohamed, Rosmawati

AU - Phiet, Pham Hoang

AU - Piratvisuth, Teerha

AU - Sarin, Shiv K.

AU - Sollarno, Jose D.

AU - Eguchi, Yuichiro

AU - Mahtab, Mamun Al

AU - Lee, Keat Hong

PY - 2015/1/1

Y1 - 2015/1/1

N2 - Background: There is considerable variation in reimbursement policies in Asian countries and this is likely to have an impact on treatment practice for chronic hepatitis B (CHB). Consequently a survey of leading hepatologists was performed to evaluate such policies and their impact on management of CHB in the Asia Pacific region.Methods: A questionnaire was sent to key hepatologists in Asia Pacific for information on CHB reimbursement policy—its nature, coverage, funding source, duration, review strategy and impact on Asia Pacific Association for the Study of the Liver (APASL) CHB guidelines. The results were analysed and described.Results: Leading hepatologists from 16 Asia Pacific countries responded. Almost all of the countries have reimbursement policies but eligibility varied from only a limited group (e.g. civil servants only) to universal access. In most instances reimbursement was from the central government (except China, Pakistan and Hong Kong). Reimbursement policies were usually created by Ministry of Health committees, who received input from medical professionals, although they may not be aware of the APASL guidelines. Policies were limited by available resources, funds and prioritization. Where there was a regular review this occurred between 1 and 5 years. The quantum of reimbursement varied from 50 % in Singapore to 100 % in the majority of other countries. The criteria for treatment reimbursement were based on doctor’s opinion alone (Bangladesh, India, Pakistan, Philippines, Singapore and Vietnam) or specific clinical/laboratory criteria in the rest of the countries. In general, most countries offered unlimited duration for reimbursement except Taiwan, Indonesia and Pakistan. Monitoring tests for treatment response were reimbursed in all countries other than Vietnam. Viral resistance was diagnosed by viral or biochemical breakthrough, and viral resistance testing was uncommon. The main rescue therapy was adefovir.Conclusion: Reimbursement policies differed from country to country, the quantum and the proportion of patients who received reimbursement also varied significantly. Asia Pacific countries were able to follow APASL guidelines with variable success based on their reimbursement policies.

AB - Background: There is considerable variation in reimbursement policies in Asian countries and this is likely to have an impact on treatment practice for chronic hepatitis B (CHB). Consequently a survey of leading hepatologists was performed to evaluate such policies and their impact on management of CHB in the Asia Pacific region.Methods: A questionnaire was sent to key hepatologists in Asia Pacific for information on CHB reimbursement policy—its nature, coverage, funding source, duration, review strategy and impact on Asia Pacific Association for the Study of the Liver (APASL) CHB guidelines. The results were analysed and described.Results: Leading hepatologists from 16 Asia Pacific countries responded. Almost all of the countries have reimbursement policies but eligibility varied from only a limited group (e.g. civil servants only) to universal access. In most instances reimbursement was from the central government (except China, Pakistan and Hong Kong). Reimbursement policies were usually created by Ministry of Health committees, who received input from medical professionals, although they may not be aware of the APASL guidelines. Policies were limited by available resources, funds and prioritization. Where there was a regular review this occurred between 1 and 5 years. The quantum of reimbursement varied from 50 % in Singapore to 100 % in the majority of other countries. The criteria for treatment reimbursement were based on doctor’s opinion alone (Bangladesh, India, Pakistan, Philippines, Singapore and Vietnam) or specific clinical/laboratory criteria in the rest of the countries. In general, most countries offered unlimited duration for reimbursement except Taiwan, Indonesia and Pakistan. Monitoring tests for treatment response were reimbursed in all countries other than Vietnam. Viral resistance was diagnosed by viral or biochemical breakthrough, and viral resistance testing was uncommon. The main rescue therapy was adefovir.Conclusion: Reimbursement policies differed from country to country, the quantum and the proportion of patients who received reimbursement also varied significantly. Asia Pacific countries were able to follow APASL guidelines with variable success based on their reimbursement policies.

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