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处方差异在不同健康保险和社会经济地位的老年人之间:一个队列研究
Ciaran Prendergast1, Michelle Flood1, Logan T Murry1
1School of Pharmacy and Biomolecular Sciences, RCSI University of Medicine and Health Sciences, 123 St Stephen's Green, Dublin, Ireland.
BMC geriatrics
|November 18, 2023
概括
与私人医疗保险相比,在爱尔兰拥有公共医疗保险的老年人获得了更多的处方,包括更多的药物和随着时间的推移增加的多药房.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 制药政策 制药政策
- 老年医学 老年医学
背景情况:
- 爱尔兰的卫生改革旨在实现全民医疗保健,需要了解处方变化.
- 社会经济地位和医疗保险影响医疗保健的获取和结果.
研究的目的:
- 分析爱尔兰老年人 (≥65岁) 初级保健中的处方模式.
- 为了比较公共 (一般医疗服务 - GMS) 和私人医疗保险的患者之间的处方差异.
主要方法:
- 使用44个爱尔兰普通医院 (2011-2018) 匿名电子健康记录进行的观察性研究.
- 对人口统计数据,处方数据,独特药物的数量和多药物的分析.
- 多级线性回归调整为年龄,性别和住院次.
主要成果:
- 在42,456名老年人中,有62%的人有GMS覆盖.
- 在所有药物类别中,GMS患者的处方率更高,尤其是二胺抗焦虑药.
- 平均单一药物:10.9 (GMS) 与8.1 (非GMS) 相比.
- 药物数量随着时间的推移而增加,GMS组的急剧上升更为明显.
结论:
- 有公共卫生保险的患者被处方的药物数量显著增加.
- 老年人增加的药物负担和多药可能与较低的社会经济地位有关.
- 调查结果可以为通用医疗保健规划提供信息,并评估权利扩展效应.
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