预测临床药房服务的财务可持续性:一个实施科学简报报告
Ashley W Ellis1, Cori C Grant2, Christopher K Finch1
1Department of Clinical Pharmacy and Translational Science, University of Tennessee Health Science Center College of Pharmacy, Memphis, TN.
药剂师可以使用PRIME工具在经济上融入初级保健. 预防和协作服务的战略计费创造了净余,改善了获得护理的机会.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 药房实践 在药房实践.
- 卫生经济学 卫生经济学
背景情况:
- 到2036年,美国将面临医生短缺,特别是在农村地区.
- 药剂师是可以访问的,90%的美国人住在药房附近.
- 将药剂师纳入初级保健是由于不清楚的财政补偿而受到限制的.
研究的目的:
- 开发和试验药剂师收入和整合建模引擎 (PRIME).
- 探索实施药剂师整合的战略.
- 模拟整合临床药房服务的财务可行性.
主要方法:
- 与一个学术家庭医学诊所合作,重建药房服务.
- 利用了2025年医疗保险医生费用表,以其他付款人进行调整.
- 在全职药剂师的四个服务交付场景中建模收入.
主要成果:
- 财务可行性取决于服务类型和数量;预防性和协作性访问是主要的收入驱动因素.
- 最优的模式结合了预防和协作服务,年收入为286,700美元.
- 这导致了105,500美元的净余和临床-学术伙伴关系.
结论:
- 通过战略计费,临床药房服务可以在初级保健中经济自给自足.
- PRIME为诊所提供了一个可定制的框架,用于评估和实施药剂师整合.
- 这种模式支持劳动力增长,培训和改善患者获得护理的机会.
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