药房订阅计划和药物补充,日供应和自付费用
Kai Yeung1,2, Dan Wilden3, Vin Gupta3,4
1Amazon Health Services, Seattle, Washington.
JAMA network open
|January 27, 2025
概括
亚马逊药房的RxPass订阅计划通过增加药物补充量和每天的供应,改善了药物坚持. 该计划还大大降低了常见的仿制药的自费成本.
科学领域:
- 卫生经济学 卫生经济学
- 制药政策 制药政策
- 药物坚持研究 药物坚持研究
背景情况:
- 药物不服药导致严重的发病率,死亡率和医疗保健费用.
- 订阅模式正在成为促进健康行为和改善药物获取的战略.
- 亚马逊药房推出了RxPass,为60种常见的仿制药提供固定费用订阅,以应对这些挑战.
研究的目的:
- 评估RxPass订阅计划对药物补充的影响.
- 评估在计划入学者中药物日供应的变化.
- 为了确定订阅计划对自付药品费用的影响.
主要方法:
- 使用了基于人口的回顾性队列研究设计.
- 一个差异差异的方法与双重可靠的估计比较了入学前和后的结果.
- 该研究包括65岁以下的成年人,不包括医疗保险/医疗补助计划的注册人,将计划用户与匹配的对照组进行比较.
主要成果:
- 计划入学与每人每月 (PPPM) 药物日供应增加10.39天有关,增长27%.
- 处方补充剂PPPM的0.19增加 (29%的增加) 被观察到.
- 出口支出减少了2.35美元PPPM (30%的减少),包括订阅费.
结论:
- 加入RxPass订阅计划显著增加了药物补充量和总日供应量.
- 该计划显示,会员的自付药费显著减少.
- 建议进行进一步的研究,以探索这些发现的潜在机制和概括性.
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