使用医疗保险D部分处方者数据库2016-2020年对桃菌的处方模式的回顾性分析
Katie Roster1, Yu Wang2, Shari R Lipner3
1New York Medical College, New York, New York, USA.
Mycoses
|October 15, 2023
概括
医生优先考虑针对指甲真菌感染 (onychomycosis) 的经济有效的治疗方法,一般性环洛皮洛克斯和特比纳占据主导地位. 这些常见的指甲真菌感染的处方率在各专业之间有所增加.
科学领域:
- 皮肤病学 皮肤病学
- 药物经济学 药物经济学
- 传染性疾病 传染性疾病
背景情况:
- 甲状腺炎是一种流行的指甲真菌感染,在全球影响5.5%,缺乏最近的美国指导方针.
- 了解处方模式对于管理这种常见疾病至关重要.
研究的目的:
- 利用医疗保险 (Medicare) 部分D数据,分析从2016年至2020年间形球菌病药物处方趋势.
- 按医生专业分层趋势,并评估治疗选择中的成本考虑因素.
主要方法:
- 医疗保险D部分处方者数据库 (2016-2020年) 的回顾性分析.
- 根据医生专业对处方数据的分层.
- 评估药物成本和仿制药与品牌名称的处方模式.
主要成果:
- 牛皮菌病药物费用每年增加4%,而2020年由于COVID-19大流行病而下降12.8%.
- 西克洛皮洛克斯和特比纳占了99%的处方,反映出对成本较低的选择的强烈偏好.
- 与医生 (1-6%) 相比,医生助理和执业护士的处方率增加率更高 (15%).
结论:
- 费用是处方医生在形肌瘤治疗选择中的主要驱动因素.
- 该研究突出了美国指导方针中的差距,并强调了治疗指甲真菌感染的成本效益.
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