340B计划药物利与所涵盖实体特征的关联
Robert J Nordyke1, James Motyka2, Julie A Patterson2
1Petauri LLC, formerly National Pharmaceutical Council, Washington, DC, USA.
在340B药品定价计划中的利率受到设施类型,市场竞争和患者财富的影响. 在医院门诊部门和更富裕的地区发现了更高的340B利率.
科学领域:
- 卫生经济学 卫生经济学
- 制药政策 制药政策
- 医疗保健管理的管理
背景情况:
- 340B药品定价计划使符合条件的医疗保健机构能够以降低价格购买门诊药物.
- 虽然该计划的覆盖范围已扩大,但其利率仍未得到充分审查.
- 了解影响340B利率的因素对于计划完整性和患者获取至关重要.
研究的目的:
- 在340B药物定价计划中调查影响利率的药物,设施和地理因素.
- 分析不同药物类别和医疗保健环境中设施级340B利的预测因素.
主要方法:
- 从链接的专有和公共数据集中对2021年的数据进行横截面分析.
- 多变量回归建模以确定设施级 340B 利率的预测因素.
- 包括5种药物类别,并检查药物,设施和地理市场特征.
主要成果:
- 340B 药物利受药物类型,设施特征和医疗保健市场度的影响.
- 在竞争较弱的市场,医院门诊部门和设施的利率更高,达到3.4亿美元.
- 设施市场力量和地区财富与增加的340B药品利率有积极的关联.
结论:
- 340B项目利率在具有更大的市场力量的设施和为更富裕的人口服务的设施中更高.
- 调查结果表明,340B计划的利用可能会向更富裕的社区转移.
- 需要对计划改革提出建议,以确保专注于低收入和没有保险的人群.
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