医疗保健提供者使用的降脂药物的临床考虑
Barry D Bertolet1, Katherine P Cabral2,3, Lance Sullenberger3
1Cardiology Associates of North Mississippi, 499 Gloster Creek Village, Suite A-2, Tupelo, MS, USA. bbert@nmhs.net.
概括
像inclisiran这样的医疗保健提供者管理的疗法可以改善动脉样硬化心血管疾病 (ASCVD) 患者的坚持. 买单模式为管理LDL-C目标和心血管结果提供了潜在的好处.
科学领域:
- 心脏病学 心脏病学
- 药理学 药理学是指药理学的学科.
- 卫生经济学 卫生经济学
背景情况:
- 动脉样硬化心血管疾病 (ASCVD) 构成了全球重大健康负担.
- 实现低密度脂蛋白胆固醇 (LDL-C) 目标对于ASCVD管理至关重要,但许多患者无法达到目标水平.
- 脂质降低疗法 (LLT) 的低于最佳的坚持和利用导致不良结果,受多药,副作用和获取等因素的影响.
研究的目的:
- 探索购买和账单偿还模式对医疗保健提供者在心脏病学中使用的降脂疗法的影响.
- 为在美国临床实践中实施新型,在办公室内使用的特殊药物提供实用指南.
- 评估办公室内管理如何提高患者监测,坚持和心血管结果.
主要方法:
- 讨论美国医疗福利药物的购买和发票过程.
- 分析inclisiran作为一种新的,每年两次,在办公室内进行的LLT.
- 考虑心脏病实践的基础设施和流程变化.
主要成果:
- 在办公室管理LLTs,如inclisiran,允许医疗保健提供者对药物采购,管理和报销进行更大的控制.
- 在其他专业中建立的买单模式可以促进及时的护理,并可能改善患者的遵守.
- 实施需要适应,但可能会导致ASCVD患者心血管状况改善.
结论:
- 买单模式为优化LLT交付和遵守ASCVD管理提供了一个机会.
- 医疗保健专家管理的专用药物可以加强患者监测和及时启动治疗.
- 在心脏病学中采用这种模型可能会改善LDL-C目标的实现,并减少ASCVD的负担.
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