通过药房伙伴关系改善青光眼药物获取:一个单一机构的经验
Jin G Choi1,2, Pathik Amin3, Alaina Tarantino4
1Pritzker School of Medicine, University of Chicago, Chicago, IL, USA.
Clinical ophthalmology (Auckland, N.Z.)
|April 8, 2024
概括
高昂的自费费用阻碍了对玻璃眼治疗的坚持. 芝加哥大学医学中心 (UCMC) 的试点项目显示,大多数药物查询都面临覆盖拒绝或高成本,影响了患者的访问和遵守.
科学领域:
- 眼科医生 眼科 眼科
- 医疗保健服务研究 医疗服务研究
- 药物经济学 药物经济学
背景情况:
- 患者自付的费用是坚持青光眼药物治疗的重要障碍.
- 芝加哥大学医学中心 (UCMC) 实施了一项试点计划,以评估基于保险覆盖的药物成本.
研究的目的:
- 评估格劳科马服务和门诊药房之间合作的影响.
- 分析药房主导的成本调查计划对青光眼药物获取的影响.
主要方法:
- 对接受表格调查的玻璃眼患者的回顾性图表审查.
- 分析药物变化,获取障碍 (事先授权,例外) 和自付费用.
- 调查期:2020年4月1日至2022年2月28日,在一个机构.
主要成果:
- 分析了343个表单调查 (568个药物调查).
- 只有78种 (13.7%) 的药物在没有额外的步骤的情况下是负担得起的.
- 445 (78.3%) 的调查导致拒绝或成本过高,即使经过额外的步骤.
结论:
- UCMC 工作流程提高了对绿眼病患者自付药费的透明度.
- 这种协作模式可以通过提高处方履行率来减少系统负担.
- 实施类似的医生-药房工作流程可以降低成本并提高患者护理质量.
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