2014年至2018年美国11个州的医疗补助计划中使用药物治疗阿片类药物使用障碍
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在PubMed上查看摘要
概括
此摘要是机器生成的。在2014年至2018年期间,阿片类药物使用障碍 (OUD) 的药物治疗在医疗补助计划注册者中增加. 然而,对OUD的持续药物使用没有显著变化,突出了护理的差异. 需要对其他州进行进一步研究.
科学领域
- 公共卫生
- 医疗服务研究
- 药物成
背景情况
- 片使用障碍 (OUD) 构成了重大的公共卫生挑战.
- 医疗补助计划的受访者是弱势群体, 无法获得OUD治疗.
- 了解这一群体的治疗趋势对于改善医疗服务至关重要.
研究的目的
- 在多个州的医疗补助计划中分析OUD (MOUD) 用药的趋势.
- 确定该群体内OUD治疗的潜在护理质量指标.
- 检查MOUD访问和连续性的差异.
主要方法
- 一项探索性的连续横截面研究分析了来自11个州的1,024,301名医疗补助计划入学者的数据 (2014-2018).
- 使用通用估计方程来估计关联,并将随机效应分析为全球估计.
- 结局包括MOUD使用 (布普诺芬,甲,纳尔德),180天的药物连续性和护理质量的指标.
主要成果
- 在医疗补助计划中,OUD的患病率从2014年的3.3%增加到2018年的5.0%.
- 联合使用MOUD的比例从2014年的47.8%上升到2018年的57.1%.
- 180天的MOUD连续性没有显著变化,非西班牙裔黑人注册人与白人注册人之间的状态变化和使用率较低.
结论
- 美国医疗补助计划的注册人群中OUD的药物治疗正在增加,但护理的连续性仍然是一个挑战.
- 在MOUD的接入和连续性方面存在差异,特别是在种族和种族方面.
- 需要进一步的研究来了解其他州的OUD治疗模式,并解决护理缺口.
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