1 University of Utah, Salt Lake City, UT, USA.
2 University of North Carolina at Chapel Hill, NC, USA.
Ann Pharmacother. 2019 Sep;53(9):916-921. doi: 10.1177/1060028019839440. Epub 2019 Mar 21.
The United States is spending an increasing share of its national income on health care while American citizens are not receiving the commensurate benefit of longer, healthier lives. Pharmacists are in a position to provide high-quality care; however, a paucity of data exists on payers' perspectives on insurance reimbursement for pharmacist-provided, community-delivered clinical services. To understand payers' perspectives toward pharmacist-provided community-delivered advanced clinical services. A 15-minute online survey was administered to determine payers' preferences and attitudes of impact about care being provided in a community pharmacy setting by a pharmacist. The study recruited 50 payers from a diverse set of US organizations. The likelihood for reimbursement for a suite of pharmacist-provided, community-delivered clinical services was likely/very likely (66%), neutral (22%), and unlikely/very unlikely (12%). Pharmacists were viewed positively by payers for the provision of these services. Payers think that more clinical services should be offered in the community pharmacy. Trust in pharmacist-provided information services on general health and medications, and pharmacist competency were strongly positive. A quantitative assessment of payer attitudes for pharmacist-provided, community-delivered advanced clinical practice was positive. Payers were positive about pharmacist contributions to the provision of heath and medication information. Continued development and deployment of advanced clinical services at the community pharmacy appears to be a financially viable model.
美国在医疗保健方面的支出占国民收入的比例越来越高，而美国公民的寿命却没有相应延长，也没有变得更加健康。药剂师能够提供高质量的医疗服务；然而，关于支付方对药剂师在社区提供的临床服务的保险报销的看法，数据却很少。为了了解支付方对药剂师在社区提供的高级临床服务的看法。我们进行了一项 15 分钟的在线调查，以确定支付方对在社区药房由药剂师提供的护理的偏好和影响态度。该研究从美国的各种组织中招募了 50 名支付方。一套由药剂师在社区提供的临床服务的报销可能性为可能/很可能（66%）、中立（22%）和不太可能/很不可能（12%）。药剂师提供这些服务的看法得到了支付方的积极评价。支付方认为社区药房应该提供更多的临床服务。对药剂师提供的一般健康和药物信息服务以及药剂师能力的信任度非常高。对支付方对药剂师在社区提供的高级临床实践的态度进行了定量评估，结果是积极的。支付方对药剂师在提供健康和药物信息方面的贡献持积极态度。继续在社区药房开发和部署高级临床服务似乎是一种可行的盈利模式。
