在资源有限的患者环境中,在学生经营的免费诊所中控制药品成本
Celestine He1, Roshini Kalagara1, Sumanth Chennareddy2
1Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Journal of community health
|July 5, 2023
概括
学生经营的免费诊所可以通过利用患者药物援助计划 (PDAP) 和制药慈善合作伙伴关系提供免费药物. 这些策略显著降低了药物成本,并增加了患者的药物覆盖范围.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 制药经济学 制药经济学
- 患者获得药物治疗的权利
背景情况:
- 学生经营的免费诊所旨在为缺乏服务的人群提供基本的医疗保健服务,包括药物.
- 管理处方药费用是免费诊所面临的重大挑战,影响了药物可用性.
- 现有的战略包括患者药物援助计划 (PDAP) 和与制药公司的合作伙伴关系.
研究的目的:
- 在一个由学生经营的免费诊所中分析PDAP和制药慈善伙伴关系的财务影响和有效性.
- 量化通过这些药物获取计划实现的节省成本和增加药物覆盖率.
主要方法:
- 对PDAP利用的2017-2021年临床数据的回顾性分析.
- 包括2021年与制药慈善机构的机构级合作伙伴关系的数据,用于药物补贴.
- 直接诊所成本与补贴药物的市场价值计算.
主要成果:
- 通过299个活跃的PDAP在五年内确定了299个全额补贴的处方.
- 一个2021年制药慈善合作伙伴关系提供了220种药物96%的补贴,价值52,401.51美元,诊所成本为2,101.28.8美元.
- 这些计划显著节省了成本,并扩大了药物供应.
结论:
- 患者药物援助计划和制药慈善合作伙伴关系是免费诊所管理药物成本的有效策略.
- 这些计划对于确保无保险患者的药物可用性至关重要,尽管应用程序复杂.
- 服务于无保险人群的医疗机构应该探索这些药物采购计划,以减轻药物成本负担.
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