在一家免费诊所为无保险患者提供一项新型药物计划
Karen Ha1, Maria Giraldo2, Jorge Garavito3
1Warren Alpert Medical School of Brown University, Providence, RI, USA. karensungha@gmail.com.
Journal of community health
|June 26, 2025
概括
免费诊所通过新的可持续制药计划,改善了无保险患者获得药物的机会. 这一举措显著减少了获得药物的困难,提高了社区健康,降低了医疗保健成本.
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
- 公共卫生 公共卫生
背景情况:
- 药品成本的上升造成了无保险和保险不足的人群进入医疗保健的重大障碍.
- 免费诊所对弱势患者至关重要,但面临着可扩展性和可持续性挑战.
- 有限的资源往往阻碍了免费诊所提供持续药物获取的能力.
研究的目的:
- 评估罗德岛免费诊所新型,可持续的制药计划的实施情况.
- 评估该计划对大约2000名无保险患者的药物获取能力的影响.
- 探索以患者为中心的慈善来源药物的模型,尽量减少组织负担.
主要方法:
- 在免费诊所实施新的制药计划.
- 在计划实施前和之后进行的匿名患者调查 (n=99).
- 分析患者报告获得药物困难的变化.
主要成果:
- 报告"非常困难"药物获取的患者比例显著下降,从计划前的36%下降到计划后的9%.
- 对目标患者群体的药物可用性有明显的改善.
- 成功建立一个可持续的,慈善来源的药物供应.
结论:
- 新型药物计划有效地改善了无保险患者获得药物的机会.
- 战略伙伴关系和以患者为中心的方法是免费诊所可持续药物治疗计划的关键.
- 这个倡议提供了一个可扩展的模型来解决医疗保健差距,降低成本,促进更健康的社区.
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