Wu Jun, Davis-Ajami Mary Lynn, Noxon Virginia
J Am Pharm Assoc (2003). 2015 Jan-Feb;55(1):41-51. doi: 10.1331/JAPhA.2015.14058.
To identify socioeconomic factors associated with mail-service pharmacy use and compare the differences in disease-specific prescription medication and medical utilization expenses in a nationally representative sample of adults with diabetes.
A retrospective, longitudinal, cross-sectional study.
United States in 2006-11.
Medical Expenditure Panel Survey household component (MEPS-HC) participants aged 18 years or older diagnosed with diabetes and prescribed antidiabetic medications.
Likelihood of mail-service pharmacy use, diabetes-related medical utilization, and medication expenses.
Among 4,430 eligible participants identified in the 2006-11 surveys, representing more than 83 million U.S. individuals, nearly 13% of the participants obtained two-thirds or more of their antidiabetic medications via mail service predominantly. Mail-service pharmacy users were older, had high school or college degrees, had higher incomes, and were more likely to be covered by private insurance. There were no significant differences in diabetes-related medical utilization and drug expenses between the two groups.
Besides pharmacy benefit design, sociodemographic and economic factors influenced drug dispensing channel use (mail service versus community pharmacy). No significant differences in diabetes-related drug and medical expenses between mail-service and community pharmacy users were observed.
确定与使用邮购服务药房相关的社会经济因素，并比较全国具有代表性的成年糖尿病患者样本中特定疾病处方药和医疗使用费用的差异。
一项回顾性、纵向、横断面研究。
2006 - 2011年的美国。
医疗支出小组调查家庭部分（MEPS - HC）中18岁及以上被诊断患有糖尿病并开具抗糖尿病药物的参与者。
使用邮购服务药房的可能性、与糖尿病相关的医疗使用情况及药物费用。
在2006 - 2011年调查中确定的4430名符合条件的参与者中，代表超过8300万美国个人，近13%的参与者主要通过邮购服务获得三分之二或更多的抗糖尿病药物。使用邮购服务药房的用户年龄较大，拥有高中或大学学历，收入较高，且更有可能享有私人保险。两组在与糖尿病相关的医疗使用和药物费用方面没有显著差异。
除了药房福利设计外，社会人口统计学和经济因素会影响药物配给渠道的使用（邮购服务与社区药房）。在使用邮购服务药房和社区药房的用户之间，未观察到与糖尿病相关的药物和医疗费用存在显著差异。
