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Environment & Health | ISSN: 2077-7477 eISSN: 2077-7485 |
No: 3 (83) - 2017 - Pages: 72-78
Regional features of transplant activity in Europe and Eastern Mediterranean/Africa depending on macroeconomic indicators
Khomenko V. I.1
1 Kyiv Ñity Bone Marrow Transplantation Center, Kyiv, Ukraine
ÓÄÊ: 616.155.392-089.843:611.018.46]:330.34(477)+615.361
SUMMÀRY:
Number of hemopoietic stem cells transplantation (HSCT) increases worldwide. However, the increasing use of this expensive treatment modality has an economic aspect. Transplant activity rates (number of HSCT per 10 million inhabitants) differ significantly between middle and high income countries in Europe and Eastern Mediterranean/Africa. Any HSCT was not performed in low income countries. In these countries and regions the transplant rates (total, for allogenic and autologous HSCT) are associated with a gross national income per capita, health care expenditures (total and governmental) per capita, number of transplant teams per 1 million inhabitants. Òransplant activity was concentrated preferentially in high income countries of Western Europe in comparison with the countries of Central and Eastern Europe, Commonwealth of Independent States, Eastern Mediterranean/Africa. The described differences of transplant activity present differences in the resources between low and high income countries and the significant regional differences as well. These data provide a basis for health care planning and development of normative acts for the development of HSCT as a cost effective treatment modality in Ukraine.
KEYWORDS:
hemopoietic stem cells transplantation, transplant rates, cross national income per capita, health care expenditures per capita
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