在医疗补助保险儿童中,抗精神病药物的使用在2008年至2016年期间大幅下降
Greta Bushnell1, James Lloyd2, Mark Olfson3
1Greta Bushnell (greta.bushnell@rutgers.edu), Rutgers University, New Brunswick, New Jersey.
Health affairs (Project Hope)
|July 5, 2023
概括
儿童抗精神病药物处方在2008年至2016年期间大幅下降,在所有人口群体中使用量都在下降. 这一趋势表明,医疗补助计划所涵盖的儿童正在朝着更合适的药物使用迈进.
科学领域:
- 儿科心理药理学 儿科心理药理学
- 医疗服务研究 医疗服务研究
- 公共卫生政策 公共卫生政策
背景情况:
- 对儿科抗精神病药物处方迅速增加的担忧,特别是在医疗补助受益者中,促使安全性和适当性审查.
- 实施了国家一级的政策和教育计划,以鼓励在儿童中更安全,更明智地使用抗精神病药物.
- 以前的趋势显示,抗精神病药物的使用正在平稳,但最近关于儿科医疗补助人口的国家数据缺乏,特别是关于种族和民族差异的数据.
研究的目的:
- 估计2008年至2016年在Medicaid注册的儿童 (2-17岁) 中使用抗精神病药物的国家趋势.
- 通过包括种族和种族在内的人口因素来检查抗精神病药物处方趋势的变化.
- 评估接受FDA批准的小儿病用抗精神病药物的儿童比例的变化.
主要方法:
- 对国家医疗补助处方索赔数据库的分析.
- 纵向研究设计检查了2008年至2016年的趋势.
- 数据按年龄,性别,种族,民族和寄养状态分层.
主要成果:
- 在2008年至2016年期间,在医疗补助人口中,在2至17岁的儿童中观察到抗精神病使用量的显著下降.
- 抗精神病药物处方的下降在包括种族和种族在内的各种人口群体中是一致的.
- 接受抗精神病药物处方的儿童中,FDA批准的儿科诊断的百分比从2008年的38%增加到2016年的45%.
结论:
- 在研究期间,医疗补助人口中儿童的抗精神病药物处方大幅下降.
- 这种下降,再加上对已批准指示的使用增加,表明向更明智的处方实践的积极转变.
- 进一步的研究可能会探索这些趋势对儿童心理健康结果的长期影响.
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