医生是否在使用更多的预防性药物治疗心血管疾病? 一个瑞典的横截面研究
Joel Lillqvist1, Johan N Sommar2, Per E Gustafsson3
1Department of Public Health and Clinical Medicine, Umeå University, Umea, Sweden.
Scandinavian journal of primary health care
|July 19, 2023
概括
医生比非医生更有可能接受心血管疾病 (CVD) 预防药物. 这项研究强调了对初级心血管疾病预防的处方实践的潜在不公平,影响了健康结果.
科学领域:
- 心血管医学 心血管医学
- 医疗服务研究 医疗服务研究
- 医学伦理学医学伦理学
背景情况:
- 心血管疾病 (CVD) 死亡率显示了社会经济群体之间持续存在的不平等.
- 主要预防药物对于降低心血管疾病死亡率至关重要.
- 医生处方偏见可能会加剧这些健康差异.
研究的目的:
- 调查初级心血管疾病 (CVD) 预防药物是否在医生和非医生之间处方不公平.
- 确定获得基本心血管疾病预防治疗的潜在差异.
主要方法:
- 2013年瑞典医生和匹配的非医生 (45-74岁) 登记数据的回顾性分析.
- 使用心肌梗塞 (MI) 患病率作为药物需求的代理,不包括被诊断为心血管疾病或糖尿病的个人.
- 使用条件后勤回归来估计药物使用的几率比率 (ORs),根据需求和收入进行调整.
主要成果:
- 这项研究包括25105名医生和44366名非医生.
- 与非医生相比,医生接受心血管疾病预防药物的可能性高出65% (OR1.65).
- 医生和非医生之间心脏病发病率相似,这表明需要并不能完全解释这种差异.
结论:
- 发现预防性心血管疾病 (CVD) 药物的处方不公平,有利于医生.
- 这些发现表明,潜在的医生自我处方偏见有助于预防心血管疾病的健康差异.
- 解决处方模式对于确保公平获得心血管疾病预防护理至关重要.
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