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澳大利亚处方药的可负担性:共付额和安全网门槛是否过高?

The affordability of prescription medicines in Australia: are copayments and safety net thresholds too high?

作者信息

Searles Andrew, Doran Evan, Faunce Thomas A, Henry David

机构信息

Hunter Medical Research Institute, The University of Newcastle, Hunter Valley Research Foundation, Australia.

出版信息

Aust Health Rev. 2013 Feb;37(1):32-40. doi: 10.1071/AH11153.

Abstract

OBJECTIVE

To create and report survey-based indicators of the affordability of prescription medicines for patients in Australia.

METHOD

A cross-sectional study of 1502 randomly selected participants in the Hunter Region of NSW, were interviewed by telephone.

MAIN OUTCOME MEASURE

The self-reported financial burden of obtaining prescription medicines.

RESULTS

Data collection was completed with a response rate of 59.0%. Participants who had received and filled at least one prescription medicine in the previous 3 months, and eligible for analysis (n=952), were asked to self-report the level of financial burden from obtaining these medicines. Extreme and heavy financial burdens were reported by 2.1% and 6.8% of participants, respectively. A moderate level of burden was experienced by a further 19.5%. Low burden was recorded for participants who said that their prescription medicines presented either a slight burden (29.0%) or were no burden at all (42.6%).

CONCLUSION

A substantial minority of participants who had obtained prescription medicines in the 3 months prior to survey experienced a level of financial burden from the cost of these medicines that was reported as being moderate to extreme.

摘要

目的

创建并报告基于调查的澳大利亚患者处方药可负担性指标。

方法

对新南威尔士州猎人地区随机选取的1502名参与者进行横断面研究,通过电话进行访谈。

主要观察指标

获取处方药的自我报告财务负担。

结果

数据收集完成,应答率为59.0%。在过去3个月内至少收到并填写过一份处方药且符合分析条件的参与者(n = 952),被要求自我报告获取这些药物的财务负担水平。分别有2.1%和6.8%的参与者报告有极端和沉重的财务负担。另有19.5%的参与者经历了中等程度的负担。表示处方药带来轻微负担(29.0%)或完全没有负担(42.6%)的参与者记录为低负担。

结论

在调查前3个月内获取过处方药的相当一部分参与者,因这些药物的费用而经历了被报告为中度至极端的财务负担。

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