基于大数据调查与医学伦理学的卫生经济学思考：以肿瘤的靶向治疗为例

沈 媛¹, 廖 艺涵¹, 刘 振雨¹, 秦 祎²
1、白俄罗斯国立大学萨哈罗夫研究所
2、赤峰市肿瘤医院（赤峰学院第二附属医院）肿瘤内科

摘要

大数据调查是一种计算机技术，我们用这种技术在检索目的文本后进行了经济学的思考，肿瘤靶向治疗药
物分为精准的基因治疗，基于干扰肿瘤细胞有丝分裂的化学治疗与基于抗原抗体反应的肿瘤抗原为清楚点的免疫治
疗，我们用乳腺癌的精准治疗为例进行了分析与思考，并结合卫生经济学得出了结论。同时，我们需要考虑医学伦
理学，这可以指导我们的临床治疗思想。

关键词

靶向治疗；癌症；医学伦理学；卫生经济学；大数据调查

参考

[1]Ghose,Soumita,VivekRadhakrishnan,andSanjay

Bhattacharya.“Ethicsofcancercare:beyondbiologyand

medicine.”ecancermedicalscience13(2019).

[2]Vanderpool,HaroldY.,andGaryB.Weiss.“Ethics

andcancer:asurveyoftheliterature.”SouthernMedical

Journal80.4(1987):500-506.

[3]Bennett,ElizabethS.“Softtruth:Ethicsandcancer

inNortheastThailand.”Anthropology&Medicine6.3(1999):

395-404.

[4]Lee,SangMok,SeongyeonKim,andHyung-SikLee.

“Theprocessofmedicaldecision-makingforcancerpatients.”

KoreanJournalofMedicalEthics12.1(2009):1-14.

[5]Jolley,MillyG.“Ethicsofcancermanagementfromthe

patient'sperspective.”Journalofmedicalethics14.4(1988):

188-190.

[6]Miyata,Hioraki,etal.“Disclosurepreferences

regardingcancerdiagnosisandprognosis:totellornotto

tell?.”Journalofmedicalethics31.8(2005):447-451.

[7]Sahm,Stephan,R.Will,andG.Hommel.“Attitudestowardsandbarrierstowritingadvancedirectivesamongst

cancerpatients,healthycontrols,andmedicalstaff.”Journalof

MedicalEthics31.8(2005):437-440.

[8]Crites,Joshua,andEricKodish.“Unrealisticoptimism

andtheethicsofphaseIcancerresearch.”JournalofMedical

Ethics39.6(2013):403-406.

[9]GallagherCM,HolmesRF.Retrospectivereviewof

medicalfutilityandethicsconsultationsatMDAndersonCancer

Center[J].JournalofClinicalResearchBioethics,2011,2:115.

[10]Elton,Lotte.“Non-maleficenceandtheethicsof

consenttocancerscreening.”JournalofMedicalEthics47.7

(2021):510-513.

[11]Posnick,JeffreyC.,C.M.Clokie,andJeffreyA.

Goldstein.“Maxillofacialconsiderationsfordiagnosisand

treatmentinGorlin'ssyndrome:accessosteotomiesforcyst

removalandorthognathicsurgery.”Annalsofplasticsurgery

32.5(1994):512-518.

[12]Neukam,F.W.,andF.Stelzle.“Lasertumor

treatmentinoralandmaxillofacialsurgery.”PhysicsProcedia

5(2010):91-100.

[13]NastroSiniscalchi,E.,Ferlito,S.,Salomone,E.,

Catalfamo,L.,Romano,F.,&DePonte,F.S.(2006).Italian

JournalofMaxillofacialSurgery2006April-December;17

(1-3):71-4.ItalianJournal,17.