成本共享的健康成本
Amitabh Chandra1, Evan Flack2, Ziad Obermeyer3
1Harvard Kennedy School, Harvard Business School, and National Bureau of Economic Research, United States.
药物费用突然增加导致药物使用减少和死亡率增加,特别是在高风险患者中. 这项研究揭示了成本共享效率低下和患者对药物戒断风险的不认识.
科学领域:
- 卫生经济学 卫生经济学
- 公共卫生政策 公共卫生政策
- 药物经济学 药物经济学
背景情况:
- 处方药价格的突然变化可能导致药物中断.
- 医疗保险的药物福利政策为65岁的人创造了准随机的药物预算,影响了自付费用.
研究的目的:
- 调查因价格变化而导致药物突然停药的健康后果.
- 评估成本共享政策对处方药效益的效率.
主要方法:
- 使用医疗保险的基于出生月的药物预算分配作为"随机"政策.
- 采用机器学习来识别患有不良事件高风险的患者.
- 进行了一项调查,以衡量患者对药物风险的认识.
主要成果:
- 每月药物预算减少100美元与每月死亡率增加0.0164个百分点相关.
- 高风险患者不成比例地减少了高价值,必需药物的使用.
- 只有三分之一的受访者认为短期戒毒会带来严重风险.
结论:
- 处方药费用共享是低效的,导致不良健康结果.
- 目前的政策导致错过了经济有效的健康收益的机会.
- 对药物风险的患者教育对于有效的医疗保健政策至关重要.
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