基于证据的高血压处方的经济影响:更好的护理是否可以降低成本?
Michael A Fischer1, Jerry Avorn
1Division of Pharmacoepidemiology and Pharmacoeconomics, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Mass 02120, USA. mfischer@partners.org
JAMA
|April 22, 2004
概括
坚持老年人基于证据的高血压指南,每年可以节省1160万美元的处方费用. 国家储蓄可能达到12亿美元,提高了处方药福利的负担能力.
科学领域:
- 卫生经济学 卫生经济学
- 药物经济学 药物经济学
- 老年医学 老年医学
背景情况:
- 高血压治疗往往偏离基于证据的指导方针,影响老年患者的药物费用.
- 低于最佳的处方导致高药费用和为老年美国人提供负担得起的处方药福利的挑战.
研究的目的:
- 为了计算医疗保健支付人的潜在节省,从改善遵守高血压管理指南.
- 专注于65岁及以上的患者.
主要方法:
- 对处方药与指南推的抗高血压药物的比较分析.
- 实际和基于证据的方案的成本计算.
- 研究人口:133624名2001年在州制药援助计划中的老年患者.
主要成果:
- 分析了超过205万份处方药,每年花费4850万美元.
- 40%的处方 (815,316) 有更合适的基于证据的替代品.
- 通过遵守指导方针,可能节省1160万美元 (24%的成本),其中通道阻断剂的更改带来了最大的节省.
结论:
- 坚持基于证据的高血压处方指南可以为老年患者节省大量的处方成本.
- 估计每年约12亿美元的国家储蓄.
- 确定改善处方的领域对于处方药福利计划的负担能力至关重要.
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