在医生和药房整合之前和之后的癌症治疗
Genevieve P Kanter1,2, Pelin Ozluk3, Winnie Chi3
1Department of Health Policy and Management, Sol Price School of Public Policy, University of Southern California, Los Angeles.
JAMA network open
|May 23, 2024
概括
瘤药房的整合并没有显著改变药物支出或改善患者护理指标,如遵守或治疗及时性. 需要进一步的研究,以了解医疗综合开药的全部影响.
科学领域:
- 在瘤学瘤学.
- 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:
- 医疗综合开药,即药房与医生实践相结合,在瘤学中越来越常见.
- 这种整合对药物开支,药物使用,药物坚持和治疗开始的影响在很大程度上是未知的.
研究的目的:
- 调查医生和药房整合与口腔瘤学药物支出,药物利用和以患者为中心的结果之间的联系.
主要方法:
- 一项队列研究分析了美国商业保险公司 (2011-2019) 的索赔数据,比较了由药房整合和非整合瘤学家治疗的患者.
- 结果包括药物支出 (口服,静脉注射,总额,自付),口服药物处方率,日供应,药物坚持和治疗开始的时间.
- 用差异差异估计器来评估整合与结果之间的关联.
主要成果:
- 整合与整体口服,静脉注射或总药物开支的显著变化无关.
- 观察到口服药物的每天供应 (5.96天) 显著增加.
- 没有发现出口袋支出,药物坚持或治疗开始时间的显著变化.
结论:
- 在瘤学中,医生和药店的整合似乎没有显著影响整体药品支出,也没有提供明确的以患者为中心的好处.
- 虽然口服药物的日供应增加了,但其他关键的以患者为中心的措施和成本指标保持不变.
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