评估财政激励和补充提醒计划对药物坚持和成本的影响
Samuel K Peasah1, Yushi Liu2, Shannon Krohe3
1UPMC Health Plan, Center for Value-based Pharmacy Initiatives, Pittsburgh, PA.
Journal of managed care & specialty pharmacy
|December 28, 2023
概括
一个财政激励和补充提醒计划显著改善了抗血栓剂的药物坚持. 这导致急诊室的访问减少,但没有影响整体医疗保健成本.
科学领域:
- 药物经济学 药物经济学
- 医疗保健服务研究 医疗服务研究
- 临床药房 临床药房
背景情况:
- 药物坚持对于治疗结果和降低成本至关重要.
- 处方费用和遗忘是遵守的主要障碍.
- 组合的短信提醒和经济激励可以改善处方补充.
研究的目的:
- 评估财务激励/补充提醒计划对药物坚持的影响.
- 评估该计划对使用特定抗血栓药物治疗的患者护理总成本的影响.
主要方法:
- 倾向性得分匹配被用来比较项目中的患者与对照组.
- 一种差异差异的方法分析了坚持 (覆盖日数的比例) 和医疗保健利用率.
- 在1年和2年的时间里,分别分析了接受蒂卡格勒罗,阿皮克萨班或里瓦罗克萨班的患者.
主要成果:
- 在抗血小板药 (63.3%对42.8%) 和抗凝剂 (77.9%对60.2%) 组中,坚持显著增加.
- 药物费用增加了79美元PMPM的阿皮克萨班/里瓦罗克萨班和77美元PMPM的提卡格.
- 计划参与者的急诊室使用量下降了16%.
结论:
- 该计划有效地改善了对抗血栓性药物的坚持.
- 虽然药品成本上升,但整体医疗保健成本 (药房,医疗,总体) 没有显著变化.
- 减少急诊室的访问表明潜在的长期成本节省.
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