评估340B关于在慢性阻塞性肺病中医疗保健使用的处方辅助计划
Leah M Taliaferro1, Sarah Dodson2, Melissa C Norton1
1Ascension Via Christi Hospitals Wichita, Inc., 929 N Saint Francis, Wichita, KS 67214, United States.
Exploratory research in clinical and social pharmacy
|July 5, 2023
概括
340B处方辅助计划 (PAP) 显著减少了COPD患者的住院和急诊室访问. 这种获得低成本药物的机会改善了医疗保健的利用率,并降低了患者的成本.
科学领域:
- 健康研究成果研究结果
- 卫生经济学 卫生经济学
- 肺部医学 肺部医学
背景情况:
- 联邦340B药物计划旨在扩大对综合患者服务的资源.
- 340B处方辅助计划 (PAP) 为符合条件的患者提供以降低成本获得药物.
研究的目的:
- 评估340B PAP对慢性阻塞性肺病 (COPD) 患者住院和急诊室访问的影响.
- 评估340亿PAP用于COPD患者的财务影响.
主要方法:
- 一个回顾性,前后队列研究115名COPD患者使用340B PAP用于吸入器/雾化器处方.
- 研究人员比较了PAP处方开始前后一年的数据.
- 威尔科克森签名等级测试分析了住院,急诊室访问和成本的变化.
主要成果:
- 综合平均所有原因住院和急诊室访问的显著减少 (2.42至1.66,p=0.002).
- 由于医疗保健利用率下降,估计每名患者平均避免成本为1012.82美元.
- 总的年度计划范围内的处方费用节省为患者178,050.21美元.
结论:
- 通过340B药物定价计划降低成本的药物与COPD患者的住院和ED访问减少有关.
- 340B PAP有效地减少了这种患者群体的医疗保健资源利用率.
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