国家电药政策和药房沙漠
Benjamin Y Urick1,2, Jessica K Adams3, Maimuna R Bruce3
1Prime Therapeutics, Eagan, Minnesota.
JAMA network open
|August 14, 2023
概括
新的远程药房政策有助于减少药房沙漠,改善药品的获取. 有这些政策的州看到没有附近药房的地区更少,有利于患者的结果.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 药房实践 在药房实践中
- 公共卫生政策 公共卫生政策
背景情况:
- 药房沙漠,即对药房访问有限的地区,是影响患者护理的日益严重的问题.
- 电药店已被用来解决药房沙漠问题,但国家法规往往阻碍了他们的运作.
研究的目的:
- 调查远程药房政策与药房沙漠的流行之间的关联.
- 确定远程药房实施对获取药房服务的影响.
主要方法:
- 一项队列研究分析了2016-2019年的药房和人口普查数据,这些数据来自美国有新电药政策的州.
- 干预状态 (2017-2018年采用政策) 与控制状态进行了比较,使用了前测试后测试无等价组设计.
- 药房沙漠被定义为距离最近的药房10英里以上的区域.
主要成果:
- 与对照组相比,干预州的药房沙漠 (4.5%) 和其中的人口 (11.1%) 显著下降.
- 远程药房比传统药房更频繁地位于医疗服务不足的地区/人口.
- 在一个药房沙漠中建立一个远程药房,在一年内将这些地区的37.5%转换为非沙漠状态.
结论:
- 新的远程药房政策与减少药房沙漠和改善对药房服务的准入有关.
- 远程药房的扩张,特别是在服务不足的地区,可以有效地缓解药房沙漠.
- 对远程药品的较少限制性国家政策可能会改善患者的获取和健康结果.
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