综合药物审查对医疗保险受益者过度使用阿片类药物的影响
Yongbo Sim1,2, Clayton F Hausberger3, Junling Wang2
1Department of Economics, City University of New York, New York, NY, United States.
概括
医疗保险计划中的综合药物审查 (CMR) 减少了同时使用阿片类药物和二二类药物的使用. 这一发现表明,CMR是打击受益者中阿片类药物流行病的有价值工具.
科学领域:
- 药物经济学 药物经济学
- 公共卫生 公共卫生
- 老年医学 老年医学
背景情况:
- 过度使用阿片类药物是一个重大的公共卫生危机,特别是在医疗保险受益者中.
- 药物治疗管理 (MTM) 计划旨在优化药物使用并改善患者的治疗结果.
- 综合药物评估 (CMR) 是MTM服务的关键组成部分.
研究的目的:
- 评估综合药物审查 (CMR) 对Medicare受益者过度使用阿片类药物的影响.
- 调查CMR是否影响高剂量阿片类药物使用,多供应商阿片类药物使用,或同时使用阿片类药物和二zepine.
主要方法:
- 对2016-2017年的医疗保险数据进行了回顾性分析.
- 干预组:2017年接受CMR的受益人. 控制组:符合条件的非参与者.
- 倾向性得分匹配和多变量逻辑回归被用于分析阿片类药物过度使用措施.
主要成果:
- 在CMR组 (2.21%) 与对照组 (1.55%) 相比,同时使用阿片类药物和 benzodiazepine 的下降更大.
- 调整后的分析显示,CMR接受者*没有*同时使用阿片类药物和二zepine的几率比CMR接受者高5% (OR=1.05).
- 在高剂量阿片类药物使用或多供应商阿片类药物使用上没有发现CMR的显著影响.
结论:
- 综合药物审查与医疗保险受益人同时使用阿片类药物和二zepine的减少有关.
- CMR服务是减轻与阿片类药物联合处方相关风险的有希望的策略.
- 将CMR整合到当前的战略中可以帮助解决正在进行的阿片类药物流行病.
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