农村地区获得瘤服务:340亿美元药品定价计划的影响
Kelsey M Owsley1, Cathy J Bradley2
1Kelsey M. Owsley (kmowsley@uams.edu), University of Arkansas for Medical Sciences, Little Rock, Arkansas.
340B药品定价计划帮助农村医院提供癌症服务. 加入该计划的医院更有可能增加瘤服务,改善农村癌症患者的治疗机会.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 农村健康差异 农村健康差异
- 瘤学 访问 访问
背景情况:
- 癌症护理的城乡差异导致农村地区的死亡率更高.
- 农村社区瘤服务的有限可用性导致治疗延迟和护理不完整.
- 340B药品定价计划为符合条件的医院提供折扣的门诊药物.
研究的目的:
- 评估340B药品定价计划对农村医院瘤服务启动的影响.
- 确定340B计划的新入学是否与瘤服务的增加有关.
主要方法:
- 对2011-2020年数据的分析.
- 2011年缺乏瘤服务的农村一般急症医院的比较.
- 2012年至2018年期间在340B计划中注册的医院与未注册的医院的评估.
主要成果:
- 加入340B计划的医院在2020年之前增加瘤服务的可能性增加了8.3个百分点.
- 新加入的医院不成比例地位于医疗补助扩张州.
- 增加服务的医院在没有保险率较低的县也更常见.
结论:
- 340B计划可以促进在一些农村社区扩大获得瘤服务的机会.
- 有机会进一步解决贫困农村服务区的癌症差异.
- 可能需要有针对性的战略,以确保在所有农村地区平等获得癌症护理.
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