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Updated: Jul 12, 2025

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Oral Health Assessment by Lay Personnel for Older Adults
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护士从业人员和初级保健医生对老年患者的不适当处方
Johnny Huynh1, Sahil A Alim2, David C Chan3
1Department of Economics, University of California, Los Angeles, Los Angeles, California (J.H.).
Annals of internal medicine
|October 23, 2023
概括
执业护士 (NPs) 和医生在老年人中处方不当的比例相似. 改善所有临床医生处方的努力可能比限制处方权力更有效.
科学领域:
- 老年学是指老年学的学科.
- 卫生政策 卫生政策
- 药理学 药理学是指药理学的学科.
背景情况:
- 许多美国州授予执业护士 (NP) 独立的药物处方权.
- 人们担心这可能会对医疗保健质量产生影响.
研究的目的:
- 为了比较NP和初级保健医生之间的不适当的处方率.
- 评估独立处方机构对老年人药物安全性的影响.
主要方法:
- 对65岁以上的受益者进行医疗保险D部分数据 (2013-2019) 分析.
- 在23,669名NPs和50,060名医生之间,不适当的处方率 (基于Beers标准) 的比较.
- 根据实践经验,患者数量,临床环境和州级变化进行调整.
主要成果:
- 在NP和医生之间,不适当的处方率几乎相同 (调整后OR,0.99).
- 对于NP来说,原始率为1.63%,对于医生来说为1.69%.
- 在最高和最低的处方率组中,NP的比例不成比例;国家一级的差异比从业者类型的差异更为显著.
结论:
- 执业护士不比医生更有可能对老年患者进行不适当的处方.
- 对所有处方者而言,广泛的质量改善举措可能比限制NP处方权更有益.
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