为药剂师提供医疗服务的州的接种疫苗支付:一项索赔分析
Journal of the American Pharmacists Association : JAPhA
|November 24, 2024
概括
药剂师提供者地位法律略有增加了疫苗接种访问收入,但低的索赔表明使用不足. 需要更多的研究来了解为什么药剂师不为服务收费,从而阻碍了结果评估.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 药房实践 在药房实践中
- 卫生经济学 卫生经济学
背景情况:
- 尽管商业保险和医疗补助计划的州级立法,药剂师的联邦提供者地位仍然不受法律约束.
- 国家提供者地位法律对药剂师补偿和患者获得护理的经验影响在很大程度上未被探索.
研究的目的:
- 为了比较成年人流感和疹疫苗的商业补偿,在有和没有药剂师提供者身份法律的州.
- 确定已颁布的提供者地位法律是否成功地增加了药剂师对提供医疗服务的报销.
主要方法:
- 利用Marketscan国家索赔数据库,分析2021-2022年疫苗接种访问 (流感,疹) 的药品和门诊服务索赔.
- 采用多变量后勤回归来比较商业供应商身份和非供应商身份之间的疫苗接种访问净收入.
主要成果:
- 对230万次接种疫苗访问的分析显示,在提供者状态状态下,对于带状疹 (OR: 1.03) 和流感 (OR: 1.01) 接种疫苗的积极净收入的几率略高.
- 一个显著的限制是药店的门诊服务索赔率极低 (0.4%),即使在提供者身份的州.
结论:
- 药剂师似乎没有充分利用医疗服务的计费机会,即使在提供者地位法律允许的情况下也是如此.
- 缺乏索赔提交阻碍了对提供者地位法律对患者和卫生系统结果的影响的证据的产生.
- 进一步的研究对于识别和克服有效实施药剂师提供者地位立法的障碍至关重要.
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