一种用于确定处方药目标的方法,用于医疗技术再评估
Mark Hofmeister1, Michael R Law2, Cheryl A Sadowski3
1Department of Community Health Sciences, https://ror.org/03yjb2x39University of Calgary, Calgary, AB, Canada.
International journal of technology assessment in health care
|November 28, 2025
概括
这项研究引入了一种使用实践变化的新方法,用于识别用于医疗技术再评估 (HTR) 的门诊处方药. 该方法有助于根据处方者和患者的影响来优先考虑药物,优化医疗保健支出.
科学领域:
- 卫生经济学 卫生经济学
- 制药政策 制药政策
- 医疗服务研究 医疗服务研究
背景情况:
- 低价值护理和低利用高价值护理的全球挑战.
- 医疗技术再评估 (HTR) 旨在提高现有医疗技术的成本效益.
- 很难确定HTR的候选药物,特别是门诊药物.
研究的目的:
- 测试一种用于识别适合HTR的门诊处方药的新方法.
- 该方法利用了处方者之间的实践差异.
- 专注于优化医疗保健支出中的金钱价值.
主要方法:
- 用于阿尔伯塔省 (2023) 公共资助的门诊处方的行政数据,用于65岁以上的个人.
- 用于对解剖治疗化学 (ATC) 类的漏斗图形进行定量比较,按处方者专业分层.
- 估计的处方者和患者影响,以及基于处方发行变化的潜在预算影响.
主要成果:
- 分析了来自8,000多名处方医生和600,000多名患者的1750万份处方药.
- 顶级解剖治疗化学 (ATC) 类-处方者专业组合显示一致性.
- 确定了结果 (处方者,患者,预算影响) 之间的最小重叠.
结论:
- 开发的方法成功地发现了对HTR的药物使用的变化.
- 对HTR的优先级取决于具体的结果指标 (处方者,患者或预算影响).
- 进一步的研究应该探索患者层面的数据,以提高可操作性.
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