随着时间的推移,越来越多的雇主提供预防性药物清单
Anita K Wagner1, Stephanie Argetsinger, Matt Lakoma
1Department of Population Medicine, Harvard Pilgrim Health Care Institute and Harvard Medical School, 401 Park Dr, Suite 401, Boston, MA 02215.
The American journal of managed care
|August 19, 2025
概括
雇主采用预防性药物清单 (PDL) 从2005年至2017年增加,特别是在大型公司和那些高扣除健康计划的公司中. 这一趋势表明,有保险的成年人可以更好地获得医疗保健.
科学领域:
- 卫生经济学 卫生经济学
- 医疗保健服务研究 医疗服务研究
- 药房福利管理 药房福利管理
背景情况:
- 雇主资助的医疗保险是美国医疗保险的主要来源.
- 预防性药物清单 (PDL) 是一种旨在鼓励使用具有成本效益的药物的配方工具.
- 了解PDL产品的趋势对于评估雇主在管理医疗保健成本和促进预防护理方面的策略至关重要.
研究的目的:
- 从2005年到2017年,分析雇主提供的预防性药物清单 (PDL) 的演变.
- 调查雇主特征与提供PDLs之间的关系.
- 检查劳动力人口统计和PDL采用之间的关联.
主要方法:
- 采用了观察性,横截面描述性研究设计.
- 为了追踪雇主在2005年1月至2017年12月期间提供的PDL,使用了一个大型的行政健康索赔数据库.
- 进行了统计分析,包括调整的模型,以确定与PDL产品相关的因素.
主要成果:
- 从2005年到2017年,提供PDL的雇主比例显著增加,其中较大的雇主增长最为显著.
- 2017年,近43%的拥有5000多名员工的雇主提供了PDL,而拥有50至199名员工的雇主只有10%.
- 拥有高扣除健康计划与健康储蓄账户 (HDHP-HSA) 员工比例较高的雇主比非HDHP-HSA雇主 (13.0%) 更有可能提供PDL (32.0%).
结论:
- 雇主采用PDL的趋势一直在上升,特别是在大型雇主和那些在HDHP-HSA注册人数很大的人群中.
- 诸如老年劳动力和更高的慢性疾病患病率等因素与PDL产品的增加有关.
- 这些发现表明,在改善医疗保健准入和管理商业保险人药品成本方面,有积极的进展.
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