费用共享与戒断布诺芬处方之间的关联
Kao-Ping Chua1,2, Rena M Conti3, Pooja Lagisetty4
1Susan B. Meister Child Health Evaluation and Research Center, Department of Pediatrics, University of Michigan Medical School, Ann Arbor, MI, USA. chuak@med.umich.edu.
Journal of general internal medicine
|June 18, 2024
概括
废弃布普伦诺芬处方是罕见的,并且与成本共享几乎没有任何联系. 仅仅减少成本共享可能无法显著提高布普伦诺芬的发行量,需要更广泛的战略.
科学领域:
- 药物经济学 药物经济学
- 阿片类药物使用障碍治疗治疗
- 医疗保健服务研究 医疗服务研究
背景情况:
- 之前关于成本共享和布普伦诺芬发放的研究没有考虑处方戒断.
- 这种限制阻止了对成本共享对治疗机会的影响进行准确的评估.
研究的目的:
- 为了确定患者成本共享和布普伦诺芬处方放弃之间的关联.
- 为旨在改善阿片类药物使用障碍者获得布普伦诺啡因的战略提供信息.
主要方法:
- 从2022年开始对药店交易数据进行横截面分析 (IQVIA表单影响分析仪).
- 后勤回归模型评估了每30天供应和放弃的成本共享,控制了患者和处方因素.
- 通过先前使用布普伦诺芬来评估效果的修改.
主要成果:
- 分析包括商业保险和医疗保险患者超过350万次布普伦诺啡索赔.
- 30天供应成本共享增加10美元与放弃概率小幅增加 (0.09个百分点) 相关.
- 这种关联在没有先前使用布普伦诺芬的患者中更为明显.
结论:
- 废弃布普伦诺芬处方是罕见的,并且与成本共享只存在很小的关联.
- 取消布雷诺啡因成本共享应该是一个全面的方法的一部分,以提高发放.
- 进一步的研究可能会探索其他阻碍布普伦诺芬获取的障碍.
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