短效阿片类药物处方和工人赔偿使用国家门诊医疗保健调查
Hannah M Thompson1, Usha Govindarajulu2, John Doucette1
1Department of Environmental Medicine and Public Health, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
拥有工人赔偿 (WC) 保险的患者更有可能获得短效阿片类药物处方. 这项研究突出了WC患者疼痛管理方面的差异,表明需要进一步调查处方模式.
科学领域:
- 疼痛管理 疼痛管理
- 医疗保健服务研究 医疗服务研究
- 阿片类药物的处方模式
背景情况:
- 在工人赔偿 (WC) 患者中对短效阿片类药物使用的理解有限.
- 调查卫生间保险与在门诊护理中的阿片类药物处方之间的关联.
研究的目的:
- 检查工人赔偿保险与短效阿片类药物的处方之间的关系.
- 在门诊护理环境中确定与短期阿片类药物处方相关的患者特征.
主要方法:
- 对2010-2018年 (不包括2017年) 国家门诊医疗调查 (NAMCS) 数据的分析.
- 包括18至64岁的患者,评估人口统计数据,并发病症和保险类型.
- 后勤回归用于计算短期阿片类药物处方的几率比率 (OR).
主要成果:
- 工人赔偿 (WC) 保险与获得短效阿片类药物处方的可能性增加了1.7倍.
- 与白人患者相比,黑人患者的处方短期阿片类药物的几率增加了 (OR:1.22).
- 25.6%的WC患者接受了短效阿片类药物,而非WC患者的比例为10.1%.
结论:
- 工人赔偿 (WC) 保险是增加短期阿片类药物处方可能性的重要因素.
- 需要进一步的研究,以了解高风险职业群体的处方趋势和相关的健康结果.
- 确定特定的处方模式可以为有针对性的干预提供信息,并改善患者的护理.
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