邻居的劣势和儿科住院患者的阿片类药物处方模式
Ashley W Kranjac1, Dinko Kranjac2, Zeev N Kain3
1Department of Sociology, Chapman University, Orange, CA, United States of America; Center for Stress & Health, University of California School of Medicine, Irvine, CA, United States of America.
Journal of pediatric nursing
|June 21, 2023
概括
一个孩子的邻居环境会影响儿科阿片类药物处方率. 较高的邻居劣势与接受阿片类药物处方的可能性增加有关,无论个人因素如何.
科学领域:
- 儿科健康 儿科健康
- 健康的社会决定因素
- 药理学 药理学是指药理学的学科.
背景情况:
- 调查住宅环境对儿科阿片类药物处方的影响.
- 专注于主要是拉丁语患者群体.
研究的目的:
- 为了确定邻里环境是否会影响儿童的阿片类药物处方模式.
- 了解住宅环境在小儿阿片类药物使用中的作用.
主要方法:
- 利用儿科患者的地理编码电子医疗记录数据.
- 采用隐性配置模型来定义邻里环境.
- 应用多层次模型来根据住宅环境分析处方模式.
主要成果:
- 确定了邻里不利和儿科阿片类药物处方之间的逐步关联.
- 发现更高的邻居劣势与增加阿片类药物处方可能性相关.
- 这种关联独立于个体患者的特征.
结论:
- 一个孩子的居住社区显著影响阿片类药物处方决定.
- 对住宅环境的核算可能有助于标准化儿科阿片类药物开放.
- 强调儿童药物治疗中社会决定因素的重要性.
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