弥合扩大药房服务和支付模式之间的差距:司法扫描
Amarildo Ceka1, Bhuvi Juneja2, Olivia Tseng2
1School of Population and Public Health, University of British Columbia; Centre for Clinical Epidemiology and Evaluation, Vancouver Coastal Health Research Institute.
Journal of the American Pharmacists Association : JAPhA
|November 7, 2025
概括
对轻微疾病的药房支付模式的检查显示,服务费模式激励量而不是质量. 基于绩效的支付模式 (PBPM) 改善了护理,但缺乏灵活性,而资本化模式的证据有限.
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
- 卫生经济学 卫生经济学
背景情况:
- 药剂师的角色已经扩大到不仅仅是开药,还包括药物审查,轻微疾病的处方和疫苗接种.
- 加拿大不列颠哥伦比亚省的收费服务模式是公认的服务采用障碍.
- 了解国际薪酬模式对于设计未来有效的支付系统至关重要.
研究的目的:
- 确定经合组织国家中轻微疾病的药店薪酬模式的结构,融资机制和提供者激励措施.
- 评估这些模型对服务采用,成本效益,医疗保健准入以及相关障碍/促进者的影响.
主要方法:
- 在PRISMA指导下对MEDLINE和EMBASE数据库 (2003-2023) 的文献综述.
- 在经合组织国家搜索药房服务,报酬和轻微疾病.
- 包括11项初级研究和5项系统性审查.
主要成果:
- 确定了三个支付模式:收费服务,基于绩效的支付模式 (PBPM) 和资本化.
- 服务费模式鼓励分发量,但对质量护理提供很少的激励.
- PBPM模型促进优质护理,但可能缺乏灵活性;封顶模型的支持证据很少.
结论:
- 替代支付模式可以鼓励扩大药剂师服务,提供诸如成本节省和改善患者护理等好处.
- 设计有效的支付模式需要优先考虑利益相关者的参与,并解决公平性问题.
- 需要对封顶模型进行进一步研究.
相关概念视频
01:29Issues And Trends In Healthcare Delivery System
6.1K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
6.1K
01:17Healthcare Agencies II
1.0K
There are various healthcare agencies in the United States—some of which are managed by religious institutions and others by different government branches.
Parish nursing is a growing specialty nursing profession that focuses on holistic healthcare, health promotion, and illness prevention. It blends professional nursing practice with a health ministry, focusing on health and healing within the context of a Christian community. Parish nurses serve as health educators, referral sources,...
Parish nursing is a growing specialty nursing profession that focuses on holistic healthcare, health promotion, and illness prevention. It blends professional nursing practice with a health ministry, focusing on health and healing within the context of a Christian community. Parish nurses serve as health educators, referral sources,...
1.0K
01:30Health Information Technology and Healthcare Information System
3.3K
Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
3.3K
01:18Introduction To Health Care Delivery System
3.7K
The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
3.7K
01:26Methods Of Healthcare Delivery System
3.9K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.9K
01:06Model Approaches for Pharmacokinetic Data: Distributed Parameter Models
228
Pharmacokinetic models are mathematical constructs that represent and predict the time course of drug concentrations in the body, providing meaningful pharmacokinetic parameters. These models are categorized into compartment, physiological, and distributed parameter models.
The distributed parameter models are specifically designed to account for variations and differences in some drug classes. This model is particularly useful for assessing regional concentrations of anticancer or...
The distributed parameter models are specifically designed to account for variations and differences in some drug classes. This model is particularly useful for assessing regional concentrations of anticancer or...
228