与医疗保险D部分药物治疗管理计划相关的种族和种族差异
Audrey Allen1,2, Anna Hung3,4,5
1Eshelman School of Pharmacy, University of North Carolina at Chapel Hill.
Journal of managed care & specialty pharmacy
|June 2, 2024
概括
医疗保险D部分药物治疗管理 (MTM) 招生显示,少数群体受益人的几率更高. 然而,种族和民族群体提供的和接受的综合药物评价 (CMR) 仍然存在差异.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 健康 公平 卫生 公平
- 药房实践 在药房实践中
背景情况:
- 医疗保险D部分药物治疗管理 (MTM) 计划旨在优化受益人药物使用.
- 以前的研究表明,在MTM计划的资格门中,存在潜在的种族和民族差异.
- 最近的分析提供了关于入学和服务使用模式的最新见解.
研究的目的:
- 为了比较历史发现与最近的关于Medicare Part D MTM招生中种族和民族差异的数据.
- 检查不同受益群体在使用综合药物评估 (CMR) 方面的差异.
- 识别在不同种族和民族人口中提供CMR服务的药剂师类型的差异.
主要方法:
- 对医疗保险D部分受益人数据的分析,重点关注MTM计划入学情况.
- 对不同种族和族群 (白人,黑人,西班牙裔,亚洲人,北美本土人) 的入学率进行比较.
- 检查提供和接受综合药物评估 (CMR) 的差异,以及提供CMR的持续时间.
主要成果:
- 最近的数据表明,与以前的调查结果相比,少数族裔受益者与白人受益者相比,MTM入学率更高.
- 在CMR利用方面存在显著差异:黑人和西班牙裔受益者不太可能获得CMR.
- 少数群体受益者 (亚裔,西班牙裔,北美原住民) 在提供后不太可能获得CMR,黑人,西班牙裔和亚裔受益者经历了更长的CMR等待.
结论:
- 虽然少数群体的MTM注册人数可能在增加,但在全面药物审查 (CMR) 访问和接收方面仍然存在巨大的差异.
- 在CMR提供率,完成率和提供时间的差异凸显了药物管理服务中持续存在的不平等.
- 对提供CMR的药剂师类型进行进一步调查是有必要的,以解决医疗保险D部分中的这些种族和民族差异.
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