支付模式和社区药房实践的可持续性:与社区药剂师进行定性访谈研究
Kelly Ann Schmidtke1, Terri Warholak2
1Liberal Arts Department, University of Health Sciences and Pharmacy, St Louis, MO, USA.
Journal of pharmaceutical policy and practice
|January 15, 2025
概括
由于追溯的直接和间接报酬 (DIR) 费用,社区药房面临财务挑战. 2024年转向未来的DIR费用可能会影响实践,需要进行支付改革以实现可持续性.
科学领域:
- 药房实践 在药房实践中
- 卫生政策 卫生政策
- 卫生经济学 卫生经济学
背景情况:
- 美国社区药房的可持续性受到医疗保险和医疗补助服务中心 (CMS) 政策的重大影响.
- 2003年实施的回顾性直接和间接报酬 (DIR) 费用影响了药店的财务状况.
- 2024年生效的政策变化将只允许未来的DIR费用,促使对其影响进行审查.
研究的目的:
- 探索现有支付模式对社区药房实践的影响.
- 调查即将发生的从追溯到未来的DIR费用转变的潜在影响.
- 确定实现社区药房支付改革所需的变化.
主要方法:
- 与密苏里州的12名社区药剂师进行了半结构化的定性访谈.
- 采访的重点是第三方支付,退款实践以及DIR费用的影响.
- 数据被专题分析,参与者验证准确性.
主要成果:
- 药剂师们表示,对于提供必要的药品服务,他们感到受到惩罚.
- 实践已经多样化了业务模式,以抵消分发带来的损失.
- 确定了未来的DIR费用模式所面临的预期挑战.
- 总体主题突出了药房实践的以社区为中心的目的.
结论:
- 社区药房需要财务上可持续的模式,以确保安全的药物发行.
- 立法行动对于联邦和州级的公平补偿至关重要.
- 支付模式应支持有益于公共健康的有价值服务.
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