心理药物处方在医疗提供者之间,2016-2019年
Phillip M Hughes1, Izabella E Annis1, Robert E McGrath1
1Division of Pharmaceutical Outcomes and Policy, University of North Carolina Eshelman School of Pharmacy, Chapel Hill (Hughes, Annis, Thomas); Cecil G. Sheps Center for Health Services Research, University of North Carolina, Chapel Hill (Hughes); School of Psychology and Counseling, Fairleigh Dickinson University, Teaneck, New Jersey (McGrath).
大多数精神药物都是由初级保健提供者处方的,而不仅仅是精神病医生或心理学家. 这种处方模式因药物,保险和患者年龄而异,突出显示了未来心理健康治疗研究的关键领域.
科学领域:
- 药理学 药理学是指药理学的学科.
- 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.
背景情况:
- 心理药物对于管理各种心理健康状况至关重要.
- 了解处方模式对于优化患者护理和资源配置至关重要.
研究的目的:
- 提供不同类型的医疗服务提供者处方精神药物的比例的最新估计.
- 分析按药物,保险和患者年龄分层的处方趋势.
主要方法:
- 采用了一个聚合的横截面研究设计.
- 分析了医学支出小组调查 (2016-2019) 的数据.
- 按提供者类型计算了心理药物处方的全国代表性估计.
主要成果:
- 超过60%的精神药物被非精神病医生/心理学家处方.
- 一般医生,执业护士和医生助理是重要的处方者.
- 处方分布显示出基于药物类型,保险和患者年龄的显著差异.
结论:
- 初级保健提供者在开处方精神药物中发挥着主导作用.
- 通过药物,保险和年龄来观察到处方模式的差异需要进一步调查.
- 研究结果表明,在初级保健机构中,有机会进行针对性干预和研究,用于心理药物管理.
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