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通过VA或医疗保险或两者填补糖尿病药物:决策的因素,挑战和信息需求
Anna Hung1,2,3, Abigail Shapiro4, Hollis J Weidenbacher4
1Center of Innovation to Accelerate Discovery and Practice Transformation, Durham VA Medical Center, Durham, NC, USA. anna.hung@duke.edu.
Journal of general internal medicine
|May 6, 2025
概括
退伍军人在选择在哪里填充糖尿病药物时,要权衡成本和获取. 护理合作伙伴通常更喜欢单一的系统,但双重使用可能会因为系统不兼容而导致丧.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 制药政策 制药政策
- 退伍军人健康的医疗服务
背景情况:
- 退伍军人事务 (VA) 和医疗保险D部分对糖尿病药物的双重使用在退伍军人中很常见.
- 这种做法在药物管理中具有优点和缺点.
研究的目的:
- 调查影响退伍军人和护理合作伙伴决定在哪里获得糖尿病药物 (仅VA,仅Medicare Part D或两者) 的因素.
- 识别与这些选择相关的药物获取挑战和信息需求.
主要方法:
- 在2023年4月至9月期间,与24名退伍军人和12名护理合作伙伴进行了半结构化采访.
- 描述性内容分析,包括演和归纳方法,用于分析采访成绩单.
主要成果:
- 费用和表单获取是药物填充地点决定的主要驱动因素.
- 方便性,驾驶时间和提供者偏好也发挥了作用;护理合作伙伴倾向于在一个系统中整合护理.
- 双重使用导致了由于沟通缺口和系统不兼容导致的挫折,尽管很少提到健康风险.
结论:
- 费用,药物获取,方便和提供者偏好显著影响退伍军人在哪里填写处方.
- 护理合作伙伴往往更喜欢单一付款者系统 (VA或医疗保险D部分) 为了简单性.
- 退伍军人和医疗保险系统之间的互操作性问题和沟通挑战造成了药物获取障碍,并需要为退伍军人和他们的护理伙伴提供更好的信息和支持.
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