药房处方辅助计划:对门诊患者的卫生系统零售模式的评估
Hope Rockett1, Samaneh Tavalali Wilkinson2, Sarah Daniel2
1The University of Kansas Health System, Kansas City, KS, USA.
Hospital pharmacy
|November 1, 2024
概括
在340B资格的卫生系统中,零售药店处方援助计划 (RPPA计划) 降低了患者的药物费用. 然而,它的影响力有限,这凸显了需要更广泛的患者参与战略,以改善药物获取.
科学领域:
- 卫生经济学 卫生经济学
- 制药科学 制药科学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 药物负担能力是社会经济弱势群体面临的重大障碍,在2021年,1800万美国成年人面临挑战.
- 糖尿病和高血压等慢性疾病加剧了药物获取问题.
- 340B药品定价计划旨在通过降低符合条件的医疗保健机构的药品价格,改善低收入患者的药品可用性.
研究的目的:
- 评估零售药店处方辅助计划 (RPPA计划) 在提高药物获取方面的有效性.
- 评估340B资格卫生系统中符合条件的门诊患者的财务负担减少.
主要方法:
- 在一个符合340B资格的学术医疗中心进行了一项探索性研究.
- 参与卫生系统财政援助计划的患者被评估是否符合RPPA计划的资格.
- 收集了人口统计,药物史,处方,患者储蓄和干预措施的数据.
主要成果:
- 招募了156名患者,51%的患者由于各种原因没有使用该计划.
- 72%的评估处方 (407) 免费分发给77名患者,节省了13,945美元的自付费用.
- 28%的处方由于配方限制或患者选择而没有通过该计划发放.
结论:
- RPPA计划有效地减少了关键门诊药物的财务障碍.
- 该计划的好处仅限于特定患者的人口统计.
- 扩大识别和参与策略对于接触到更广泛的患者群体至关重要.
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