在慢性阿片类药物患者的支付者类型中,在手术后的高风险处方
Limi Sharif1, Vidhya Gunaseelan1,2, Pooja Lagisetty3,4,5
1Department of Anesthesiology, Michigan Medicine, Ann Arbor, MI.
Annals of surgery
|June 19, 2023
概括
慢性阿片类药物患者在手术后面临高风险阿片类药物处方的高率,无论其保险类型如何. 这项研究发现,医疗补助和私人保险之间的高风险处方没有显著差异.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 药理学 药理学是指药理学的学科.
- 公共卫生 公共卫生
背景情况:
- 慢性阿片类药物患者的术后护理往往涉及到分散的护理过渡.
- 了解高风险阿片类药物处方的付款人特定差异对于改善患者的治疗结果至关重要.
研究的目的:
- 为了比较医疗补助和私人保险患者之间手术后新高风险阿片类药物处方率.
- 确定导致这些人群处方高风险的因素.
主要方法:
- 这是一项回顾性队列研究,利用密歇根外科质量协作机构的术后数据.
- 对1435名患者的手术数据与处方药监测计划数据进行了链接.
- 高风险处方被定义为新出现的重叠阿片类药物/二类药物,多处方者,每日高剂量或长效阿片类药物.
主要成果:
- 总体而言,23.6%的医疗补助患者和22.7%的私人保险患者在手术后经历了新的高风险阿片类药物处方.
- 在这两组人群中,新增多重处方药是最常见的高风险因素.
- 医疗补助保险与增加高风险处方几率没有显著关联 (OR: 1.067,95% CI: 0.813-1.402).
结论:
- 对于手术后的慢性阿片类药物使用者来说,新的高风险阿片类药物处方率很高,无论保险类型如何.
- 这些发现强调了需要制定政策来缓解高风险的处方,特别是在脆弱的患者群体.
- 需要进一步的研究来解决差异,并改善手术环境中的处方实践.
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