帮助患者应对高处方药费用的策略
Hussain S Lalani1,2, Catherine S Hwang1,2, Aaron S Kesselheim1,2
1Program on Regulation, Therapeutics, and Law (PORTAL), Division of Pharmacoepidemiology and Pharmacoeconomics, Department of Medicine, Brigham and Women's Hospital, Boston, Massachusetts.
JAMA
|October 21, 2024
概括
许多美国人面临着高处方药费用, 临床医生可以通过共同支付卡和援助计划等策略帮助患者购买药物, 但系统性问题依然存在.
科学领域:
- 健康经济学
- 制药政策
- 临床实践
背景情况:
- 美国的高处方药费用导致药物不服药和不良健康结果.
- 处方医生和临床工作人员需要了解为患者提供支持的节省成本策略.
- 了解患者的财务障碍对于有效的药物管理至关重要.
研究的目的:
- 审查和评估帮助患者购买处方药的策略.
- 根据患者的保险和药物的类型,为临床医生制定一个框架来选择适当的节省成本的措施.
- 为医疗保健提供者提供有关处方费用援助的可用资源.
主要方法:
- 系统审查七个成本援助策略:共同支付卡,患者援助计划,药店优惠券,直接向消费者提供药店,公共援助计划,国际在线药店和实时处方福利工具.
- 开发一种算法,以指导临床医生将策略与患者个人资料 (保险,药物类型) 相匹配.
- 分析每个策略的好处和局限性.
主要成果:
- 共同支付卡对使用品牌药物的私人保险患者有好处.
- 患者和公共援助计划是符合财务标准的无保险或公共保险人员的选择.
- 药店优惠券和直接向消费者销售的药店为所有患者提供了潜在的节省,特别是在仿制药方面,但不计入自扣额.
- 国际药房是特定品牌药物需求的最后手段.
- 实时处方福利工具可以帮助估计费用并为保险患者找到替代方案,尽管准确性各不相同.
结论:
- 现有策略为临床医生提供实用解决方案,
- 目前的制度反映了美国处方药市场面临的更广泛挑战,
- 这些策略解决了直接的成本障碍,但并没有解决高药价的根本原因.
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