作者: Niteesh K. Choudhry , Michael A. Fischer , Jerry Avorn , Sebastian Schneeweiss , Daniel H. Solomon
DOI: 10.1377/HLTHAFF.2010.0336
关键词: Health care 、 Clopidogrel 、 Control subjects 、 Value (economics) 、 Drug adherence 、 Cohort study 、 Actuarial science 、 Value-Based Insurance Design 、 Medicine 、 Evidence-based medicine
摘要: To date, there has been little empirical evidence to support the broader use of value-based insurance design, which lowers copayments for services with high value relative their costs. address this lack data, we evaluated impact program a US corporation, Pitney Bowes. The eliminated cholesterol-lowering statins and reduced them clopidogrel, blood clot inhibitor. We found that policy was associated an immediate 2.8 percent increase in adherence controls, maintained subsequent year. For stabilizing rate four-percentage-point difference between intervention control subjects year later. Our study thus provides basis approach improve quality health care.