与无家可归成年人进入永久支持性住房相关的药物使用和服药的变化
Donald S Bourne1, Lingshu Xue2, Mara A G Hollander3
1Department of Health Policy and Management, School of Public Health, University of Pittsburgh, Pittsburgh, PA, USA. dsb65@pitt.edu.
Journal of general internal medicine
|January 24, 2024
概括
永久支持性住房 (PSH) 计划增加了医疗补助计划的注册人处方填充和抗抑郁药的坚持. 这些发现支持在无家可归的人群中扩大PSH.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 公共卫生政策 公共卫生政策
- 药物坚持研究 药物坚持研究
背景情况:
- 永久支持性住房 (PSH) 计划正在扩大,影响医疗保健使用.
- 人们对PSH对处方药在不稳定住房人口中治疗慢性疾病的影响知之甚少.
研究的目的:
- 评估PSH对药物利用和药物坚持的影响.
- 专注于宾夕法尼亚州的医疗补助计划注册者,他们经历住房不稳定.
主要方法:
- 差异中的差异研究设计.
- 将PSH参与者 (n=1375) 与匹配的比较队列 (n=5405) 进行比较.
- 分析了关键药物类别的处方填充量,覆盖日数比例 (PDC) 和坚持 (PDC ≥80%).
主要成果:
- 与对照组相比,PSH队列的整体处方填充量相对增加了4.77%.
- 在PSH队列中,抗抑郁药的坚持增加了7.41%.
- 对于其他药物类别,没有观察到统计学上显著的遵守差异.
结论:
- 参与PSH与整体更高的处方药使用有关.
- 在PSH参与者中观察到改善了抗抑郁药物的坚持.
- 调查结果支持政策倡议,扩大PSH为无家可归的医疗补助计划注册者.
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