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临床试验/NCT04904055
NCT04904055已完成不适用

Value-based Formulary-Essentials: Testing and Expanding on Value in Prescription Drug Benefit Design

Kaiser Permanente1 个研究点 分布在 1 个国家目标入组 36,333 人开始时间: 2015年1月1日最近更新:
适应症

试验速览

阶段
不适用
状态
已完成
入组人数
36,333
试验地点
1
主要终点
Total spending for prescription drugs

研究概览

简要总结

The objective of this study is to evaluate the impact of the value-based formulary on patient out-of-pocket spending and health plan spending as well as the impact of the value-based formulary on medication use, emergency department visits, hospitalizations, and outpatient office visits.

研究设计

研究类型
Observational
观察模型
Cohort
时间视角
Retrospective

入排标准

年龄范围
0 Years 至 64 Years(Child, Adult)
性别
All
接受健康志愿者

入选标准

  • Individuals:
  • aged 0-64
  • Continuously enrolled in an employer-sponsored health plan for at least 12 months (with one-month allowable gap) prior to the index date
  • For individuals in the exposed group, the index date is defined as the start date of value-based formulary implementation at the employer group level
  • For individuals in the control group, the index date is defined as the index date of the matched exposed individual
  • Employer groups:
  • that transition to the value-based formulary if they transitioned all enrollees in that employer group (no individual selection)

排除标准

  • Individuals with:
  • missing gender information
  • missing zip code level demographics at all member months

结局指标

主要结局

Total spending for prescription drugs

时间窗: From 24 months before insurance transition until up to 36 months after transition

Impact of value-based formulary on patient out-of-pocket plus health plan spending on prescription drugs per member per month

次要结局

  • Health plan spending for prescription drugs(From 24 months before insurance transition until up to 36 months after transition)
  • Days supply of medication(From 24 months before insurance transition until up to 36 months after transition)
  • Number of emergency department visits(From 24 months before insurance transition until up to 36 months after transition)
  • Number of days in hospital(From 24 months before insurance transition until up to 36 months after transition)
  • Number of outpatient office visits(From 24 months before insurance transition until up to 36 months after transition)
  • Patient out-of-pocket spending for prescription drugs(From 24 months before insurance transition until up to 36 months after transition)
  • Total healthcare spending(From 24 months before insurance transition until up to 36 months after transition)

研究者

申办方类型
Other
责任方
Sponsor

研究点 (1)

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