药物治疗管理对艾滋病毒/艾滋病的Medicare受益人药物使用的影响
Journal of the American Pharmacists Association : JAPhA
|January 5, 2024
概括
医疗保险第D部分的药物治疗管理 (MTM) 计划改善了抗逆转录病毒的坚持,并减少了艾滋病毒/艾滋病感染者 (PLWHs) 同时使用阿片类药物/二二胺的情况. 这些发现凸显了MTM的重要性.
科学领域:
- 老年医学 老年医学
- 传染病管理 传染病管理
- 医疗保健服务研究 医疗服务研究
背景情况:
- 医疗保险D部分规定了符合条件的受益人的药物治疗管理 (MTM) 计划.
- MTM对艾滋病毒/艾滋病老年人 (PLWHs) 药物使用的影响尚不清楚.
研究的目的:
- 调查医疗保险MTM计划对PLWHs药物使用的影响.
- 专注于抗逆转录病毒的坚持,药物相互作用和同时使用阿片类药物/二胺的药物.
主要方法:
- 分析2017年医疗保险数据库与区域卫生资源文件相关联.
- 使用倾向性得分匹配 (1:2比) 的MTM接受者 (干预) 和非接受者 (对照) 的比较.
- 对患者和社区特征进行控制的后勤回归.
主要成果:
- MTM与抗逆转录病毒坚持的可能性更高有关 (aOR=1.15,95% CI=1.04-1.26).
- MTM与减少同时使用阿片类药物和二类药物有关 (aOR=1.255,95%CI=1.005-1.568).
- 没有观察到药物相互作用的显著差异 (aOR=0.95,95%CI=0.74-1.20).
结论:
- 医疗保险MTM计划在改善PLWHs的药物利用方面表现出有效性.
- 建议进行进一步的研究,以评估MTM计划在这个人群中的长期结果.
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