药剂师替代疗法干预措施对儿科Medicaid人口的影响
Megan C McNicol1, Kelin Wheaton1,2, Mahmoud Abdel-Rasoul3,4
1Department of Pharmacy, Nationwide Children's Hospital, Columbus, OH.
Journal of managed care & specialty pharmacy
|July 5, 2023
概括
儿童门诊药剂师与负责护理组织 (ACO) 药剂师合作,通过推替代疗法,实现了显著的成本节约. 这一举措改善了药物获取,并避免了为儿科医疗补助患者提供昂贵的先前授权 (PA).
科学领域:
- 卫生经济学与研究成果研究成果
- 制药政策和管理 制药政策和管理
- 儿科药房实践 儿科药房实践
背景情况:
- 门诊临床药剂师对于解决药物获取问题至关重要,这些问题因可变的保险表单而复杂化.
- 负责任的护理组织 (ACO) 将药剂师纳入人口健康团队,以应对这些挑战.
- 儿科门诊护理药剂师和ACO药剂师之间的合作为改善患者护理和降低成本提供了潜力.
研究的目的:
- 估计儿童门诊诊所药剂师通过替代疗法干预措施为ACO节省成本.
- 为了量化干预频率,评估避免事先授权 (PA),并分析每种治疗类别的成本节约.
- 评估 ACO 药剂师创建的资源对儿科医疗补助人口中药物获取的影响.
主要方法:
- 儿童门诊护理药剂师对替代疗法干预措施的回顾性审查.
- 2020年1月1日至2020年12月31日期间从电子健康记录中收集的数据.
- 使用平均批发价格计算成本节约;量化了PA避免.
主要成果:
- 总共进行了278次干预,估计节省了133,191.43.3美元的成本.
- 主要护理诊所占大多数干预 (n = 181,65%).
- 174项干预 (63%) 成功避免了需要事先授权 (PAs) 的需要.
结论:
- 儿童门诊护理药剂师与ACO药剂师合作,成功实施了替代疗法干预措施.
- 利用ACO处方资源为ACO带来了显著的成本节省,并减少了PA要求.
- 这种协作模式证明了儿科医疗补助人口中的价值,改善了药物获取和财务效率.
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