对于无家可归的退伍军人事务服务用户和患有精神疾病的Benzodiazepine处方
Katherine A Koh1, Dorota Szymkowiak1, Jack Tsai1
1Department of Psychiatry, Massachusetts General Hospital-Harvard Medical School, and Boston Health Care for the Homeless Program, Boston (Koh); National Center on Homelessness Among Veterans, U.S. Department of Veterans Affairs (VA), Tampa, Florida (Szymkowiak, Tsai); School of Public Health, University of Texas Health Science Center at Houston, Houston (Tsai).
Psychiatric services (Washington, D.C.)
|October 31, 2023
概括
患有精神疾病的无家可归退伍军人不太可能获得类药物处方,但处方风险较高. 这包括二类药物与阿片类药物或镇静剂的同时使用,这表明存在潜在的安全问题.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
背景情况:
- 无家可归的人群面临使用物质障碍和过量死亡的风险较高.
- 在这个易受伤害的群体中,二甲的处方模式仍未得到充分研究.
- 了解处方实践对于患者安全和减少危害至关重要.
研究的目的:
- 检查美国退伍军人事务部 (VA) 精神疾病的无家可归服务用户中的二二胺处方率.
- 在这个人群中识别风险和潜在不适当的二二二烯处方做法.
- 为了比较无家可归者和住房退伍军人与精神疾病之间的处方模式.
主要方法:
- 利用了2018-2019年国家VA行政数据.
- 采用后勤回归来比较二二的处方概率.
- 使用t测试来比较无家可归 (N=244,113) 和住房 (N=2,763,513) 精神疾病退伍军人之间风险处方模式的指标.
主要成果:
- 无家可归的退伍军人不太可能获得二甲的处方 (调整后的几率比率=0.70).
- 然而,无家可归的退伍军人显示出更高的风险处方率,包括多次并发的二甲处方 (9.4%对比7.0%).
- 在无家可归的退伍军人中观察到与阿片类药物 (36.9%对31.2%) 或镇静剂 (61.9%对45.9%) 同时处方二甲的比率更高.
结论:
- 尽管总体上二甲的处方率较低,但患有精神疾病的无家可归退伍军人更关注处方做法.
- 这些发现强调了需要有针对性的干预措施,以改善无家可归的退伍军人群体中的二胺安全性.
- 进一步的研究应该集中在与这些处方模式相关的临床结果上.
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