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美国基于药房的CLIA豁免测试:趋势,影响和前进道路

Ben Zalupski¹, Zeina Elroumi¹, Donald G Klepser²

¹Ferris State University College of Pharmacy, 25 Michigan Street NE Suite 7000, Grand Rapids, MI 49503, USA.

Research in social & administrative pharmacy : RSAP

|March 22, 2024

概括

在疫情期间,提供CLIA豁免测试的社区药房激增,自2019年以来增加了140%. 这种增长仍在继续,这表明药房测试的持续机会超越了大流行.

科学领域:

临床实验室改进修正案 (CLIA)
在护理场所进行检测.
公共卫生公共卫生

背景情况:

随着COVID-19大流行,联邦政府授权药剂师进行CLIA豁免测试,大大增加了药房测试场所.
2024年秋季PREP法案的到期可能会限制药剂师提供这些服务的能力,并恢复到州特定的法规.

研究的目的:

分析在SARS-CoV-2大流行之前和之后,美国药房内的CLIA豁免测试场所的增长.
调查持有CLIA豁免证书的药房的流行情况的州级变化.

主要方法:

在2015年至2023年多个日期的CDC CLIA实验室搜索网站上提取了关于CLIA豁免设施的数据.
收集了包括州级信息在内的人口统计数据,用于所有CLIA豁免的设施.

主要成果:

获得CLIA豁免的药房数量从2015年的10626家增加到2023年的29011家,增长了173%.
有CLIA豁免的药房比例从2015年的17.9%增长到2023年的51.6%.
观察到各州的显著变化,在2023年,CLIA豁免百分比从10.7%到87.9%不等.

结论:

基于药房的CLIA豁免测试已大幅扩大,自2019年以来增长了140%.
在2019年至2021年期间,由于大流行病导致的大幅增加 (92.5%).
从2021年到2023年,市场持续增长31.6%,这表明药房在提供这些测试服务方面仍有机会.

关键词:

获得CLIA豁免的实验室在 COVID-19 疫情中,社区药房社区药房在护理场所进行检测.

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