在医疗保险药物政策变化之后,向医疗保险临终关怀计划报告的药物,2014-2018年
Jennifer Tjia1, Matthew Alcusky1, Joshua Rumbut1
1UMass Chan Medical School (J.T., M.A., J.R.), Worcester, Massachusetts.
Journal of pain and symptom management
|April 5, 2025
概括
2014年医疗保险的宿舍政策变化导致每名入学者使用慢性病药物的数量略有,但显著增加. 需要进一步的研究来确定临床意义和患者结果的影响.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 老年学是一门学科.
- 药物经济学 药物经济学
背景情况:
- 2014年,医疗保险的临终关怀政策将药物支付从D部分转移到临终关怀福利.
- 这一政策变化旨在改变住院护理系统中药物的覆盖和管理方式.
研究的目的:
- 为了分析报告给医疗保险住院福利的药物使用模式,2014年后的政策变化.
- 描述总体和慢性疾病药物发行趋势的趋势.
主要方法:
- 对2014-2018年医疗保险临终关怀福利数据进行了重复的横截面分析.
- 使用的医疗保险主受益人总结文件和临终关怀索赔数据.
- 检查的平均药物分发量,常见药物和慢性疾病的药物比例,生命终点和潜在的不适当使用 (STOPPFrail标准).
主要成果:
- 在2014年之后,每名入学者分别发放慢性病药物的数量在统计上显著增加.
- 慢性疾病或符合STOPPFrail标准的顶级临终关怀医院药物的比例保持稳定.
- 终生药物比例暂时下降,但恢复到基线水平.
结论:
- 医疗保险临终关怀计划在2014年后的慢性病药物发行量中出现了微小,但在统计学上显著的增加.
- 这些药物变化的临床意义和对患者结果的影响需要进一步调查.
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