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处方权和公平获得护理:来自加拿大安大略省药剂师的证据
1University of Toronto, Canada.
Journal of health economics
|August 14, 2025
概括
新安大略省的政策允许药剂师为轻微疾病开处方,使药房访问量增加了16%. 这一政策改善了贫困地区的医疗保健接入,并表明药房访问取代了紧急护理.
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
- 获得医疗保健 获得医疗保健 获得医疗保健
背景情况:
- 扩大药剂师的处方权限可以提高医疗保健公平性和患者的结果.
- 有关潜在的道德风险和患者从医生护理中取代患者的担忧存在.
- 加拿大安大略省的2023年政策允许药剂师为轻微疾病开处方.
研究的目的:
- 评估扩大药剂师处方对医疗保健利用的影响.
- 评估对非药房医疗机构访问的溢出效应.
- 为了确定药房和其他医疗服务之间的替代模式.
主要方法:
- 利用Advan步行者流量数据来衡量药房和其他医疗设施的访问变化.
- 采用2023政策作为外源变异来分析因果关系.
- 在药房访问和访问其他医疗保健提供者之间估计的替代弹性.
主要成果:
- 药剂师处方导致药房访问增加了16%,其他提供商的访问增加了3%.
- 这些增长最明显的是在物质贫困的社区.
- 增加的药房流量的20%转化为增加的门诊护理利用率,取代了急诊室的访问.
结论:
- 扩大药剂师处方显著增加了医疗保健利用率,特别是在服务不足的地区.
- 药房访问是紧急和医院护理的替代品,表明在医疗保健分拣中可能发挥作用.
- 该政策对公平获取和有效分配医疗保健资源产生了积极影响.
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