2013年から2023年までの高齢者の処方薬の配給パターン
Hui Wen Quek1, Kenneth Lee1, Christopher Etherton-Beer2
1Centre for Optimisation of Medicines, School of Allied Health, The University of Western Australia, Perth, Western Australia, Australia.
Journal of the American Medical Directors Association
|September 5, 2025
まとめ
65歳以上のオーストラリア人の処方薬の配給は,2013年から2023年の間に減少した. 一般医の処方箋は,非分類の非専門医の処方箋によってますます置き換えられています.
科学分野:
- 高齢 医学
- 医療サービス研究
- 薬学経済学
背景:
- オーストラリアの医薬品給付制度 (PBS) は,高齢者の薬物使用に不可欠です.
- 処方薬の配給の傾向を理解することは,医療計画とリソースの配分に不可欠です.
研究 の 目的:
- 2013年から2023年の間,65歳以上のオーストラリア人の処方薬の配給パターンの年次動向を分析する.
- この集団における PBS 薬の配給に寄与する処方者タイプの変化を特定する.
主な方法:
- オーストラリアのPBSデータセット (2013-2023) の10%のサンプルを使用した遡及的記述研究.
- PBS薬の処方者数,処方者訪問,薬局訪問を分析した.
- 処方医は,一般医と非専門医を含む様々なタイプに分類された.
主要な成果:
- 65歳以上の人当たりのPBSの年間配給は2013年から2023年の間に34から31に減少した.
- PBSの処方箋を処方する医師の訪問の平均は6件から5件に減少した.
- PBS処方箋のGP訪問は著しく減少し,非分類の非専門医への訪問は増加しました.
結論:
- 高齢者のオーストラリア人の間で処方薬の配給は減少しており,一般医の処方箋から非分類の非専門医の処方箋への顕著な変化があります.
- 医療の提供と労働力の景観の変化は,これらの配給の傾向に影響を与えました.
- これらの変化が医療費に及ぼす経済的影響を評価するために,さらなる研究が推奨されています.
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