医疗保险受益人获得药物同步的医疗保健资源利用率
概括
基于预约的药物同步 (ABMS) 减少了医疗保险受益人的门诊和药房访问. 这项研究发现,与非注册者相比,医疗同步注册者的医疗保健利用率较低.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 制药服务 制药服务
- 卫生经济学 卫生经济学
背景情况:
- 基于预约的药物同步 (ABMS) 将患者的慢性药物与常规药房取药相协调,并包括临床审查.
- 该服务旨在改善药物管理和患者的治疗结果.
研究的目的:
- 将在ABMS计划中注册的Medicare受益人和未注册的受益人之间的医疗保健利用结果进行比较.
- 评估的关键结果包括门诊,住院,急诊室访问和药房利用.
主要方法:
- 一项回顾性队列研究分析了2014-2016年的医疗保险索赔数据.
- 倾向性得分匹配被用来创建可比的医疗同步 (n=13,193) 和非医疗同步 (n=156,987) 队列.
- 差异分析比较了在入学前和后12个月内医疗保健利用率的变化.
主要成果:
- 在医疗同步队列中观察到门诊次数 (DID 0.012,P=0.0073) 和药房利用率 (DID 0.013,P<0.0001) 的统计学显著减少.
- 在队列之间的住院或急诊室访问中没有发现统计学上显著的差异.
结论:
- 注册以预约为基础的药物同步与较低的门诊和药房利用率有关.
- 减少利用可能源于尽量减少重复处方和通过ABMS计划中的药物审查优化治疗.
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