340B实体和合同药房所在地之间的收入差异
1Health Capital Group, LLC, 300 Carnegie Center, Ste 150, Princeton, NJ 08540.
The American journal of managed care
|June 21, 2023
概括
340B所涵盖的实体及其合同药房 (CP) 通常不会与低收入社区的药房签订合同. 这项研究发现,药房通常位于收入较高的地区,无论该实体是医院还是资助机构.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 卫生经济学 卫生经济学
- 药房管理局 药房管理局
背景情况:
- 340B药品定价计划旨在降低服务于弱势群体的某些医疗保健组织的药品成本.
- 合同药房 (CP) 是由340B所涵盖的实体用来分发药品的.
- 了解所涵盖实体及其CP之间的地理和社会经济对齐对于计划完整性和患者访问至关重要.
研究的目的:
- 估计340B覆盖实体及其相关合同药房 (CP) 之间的社区收入差异.
- 为了确定这些收入差异是否在医院覆盖实体和联邦赠款人之间存在差异.
- 分析对患者获取和计划收入产生的影响.
主要方法:
- 一项采用卫生资源和服务管理局340B药房事务信息系统办公室数据的横截面研究.
- 结合美国人口普查局 (US Census Bureau) 邮政编码表格区域 (ZCTA) 的2019年家庭收入中位数数据.
- 分析了超过9万对被覆盖的实体和CP,包括一个半径在100英里的子集.
主要成果:
- 平均而言,药房ZCTA的家庭收入中位数比覆盖实体ZCTA高35%.
- 这种收入差异在医院 (36%) 和受资助者 (33%) 中是相似的.
- 在超过50%的安排中,药房ZCTA比受保证实体ZCTA富有20%以上.
结论:
- 医院和资助者都使用CP来创造收入.
- 然而,CP通常不会在低收入患者最有可能居住的社区签订合同.
- 与之前的研究相反,这项研究发现,医院和资助人之间的CP合同模式在社会经济因素方面差异很小.
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