在纳入北卡罗来纳州医疗补助计划的儿童中,抗生素处方的变化,2013-2019年
Ganga S Moorthy1,2,3, Rebecca R Young4, Sudha R Raman5
1Division of Pediatric Infectious Diseases, Department of Pediatrics, Duke University Medical Center, Durham, North Carolina, USA.
北卡罗来纳州 (NC) 的儿科抗生素处方显示出差异. 较年轻,白人和农村儿童获得了更多的处方,农村地区的不适当使用率更高,突出了公平管理努力的必要性.
科学领域:
- 儿童传染病 儿童传染病
- 抗微生物药物管理管理
- 卫生公平研究 卫生公平研究
背景情况:
- 儿童抗生素处方在门诊环境中经常发生.
- 不适当使用抗生素会导致抗菌素耐药性.
- 抗生素使用存在区域差异,特别是在南方州的高.
研究的目的:
- 确定北卡罗来纳州 (NC) 儿科医疗补助病人的不适当的抗生素处方率和风险因素.
- 分析影响儿科抗生素处方模式的患者和提供者因素.
主要方法:
- 从2013年到2019年使用的NC Medicaid处方索赔数据.
- 描述了儿童抗生素处方模式.
- 评估患者和提供者与处方变化相关的特征.
主要成果:
- 2岁以下的儿童,非西班牙裔白人和农村儿童的抗生素处方率最高.
- 不适当的抗生素处方风险在非儿科专家中最高,在执业护士中最低.
- 农村NC地区的不适当处方率最高,这些地区非西班牙裔黑人儿童的风险增加.
结论:
- 美国国药处方做法与邻国有所不同,阿巴拉契亚州的不适当使用风险较低,但种族和农村差异仍然存在.
- 门诊管理必须解决种族和地理差异.
- 为所有医疗保健提供者提供教育对于促进处方中的健康公平至关重要.
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