Afendulis Christopher C, Fendrick A Mark, Song Zirui, Landon Bruce E, Safran Dana Gelb, Mechanic Robert E, Chernew Michael E
Harvard Medical School, Boston, MA, USA
University of Michigan Health System, Ann Arbor, USA.
Inquiry. 2014 Jan 1;51. doi: 10.1177/0046958014558716. Print 2014.
In 2009, Blue Cross Blue Shield of Massachusetts implemented a global budget-based payment system, the Alternative Quality Contract (AQC), in which provider groups assumed accountability for spending. We investigate the impact of global budgets on the utilization of prescription drugs and related expenditures. Our analyses indicate no statistically significant evidence that the AQC reduced the use of drugs. Although the impact may change over time, early evidence suggests that it is premature to conclude that global budget systems may reduce access to medications.
2009年，马萨诸塞州蓝十字蓝盾公司实施了基于全球预算的支付系统——替代质量合同（AQC），在该系统中，医疗服务提供方团体需对支出负责。我们调查了全球预算对处方药使用及相关支出的影响。我们的分析表明，没有统计学上的显著证据表明AQC减少了药物使用。尽管这种影响可能会随时间变化，但早期证据表明，现在就得出全球预算系统可能会减少药物可及性的结论还为时过早。
