结合基于邮政编码的人口数据和药房行政索赔数据,以创建健康社会决定因素的措施
Brooke D Hunter1, Kristin D Brown-Gentry1, Mark A Santilli1
1Magellan Rx Management, a Prime Therapeutics company, Eagan, MN.
Journal of managed care & specialty pharmacy
|March 31, 2024
概括
人口数据提供了一种可访问的方式来衡量健康的社会决定因素 (SDoH),并改善糖尿病患者的药物服药. 了解患者的SDoH可以帮助量身定制护理计划并提高参与度.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 公共卫生 公共卫生
- 医疗信息学 医疗信息学
背景情况:
- 健康的社会决定因素 (SDoH) 显著影响健康结果.
- 收集个人级别的SDoH数据面临成本和缺乏标准化等障碍.
- 人口级数据为SDoH评估提供了一个可行的替代方案.
研究的目的:
- 为了证明利用人口数据为SDoH措施创造.
- 评估基于人口的SDoH措施与糖尿病药物坚持之间的关联.
- 讨论SDoH理解对患者护理和参与的影响.
主要方法:
- 一个全国性样本 (N=37,789) 的成人糖尿病患者的分析.
- 整合美国人口普查,行业分类和药房索赔数据来得出SDoH措施.
- 后勤回归用于评估SDoH措施 (经济稳定,医疗保健准入) 与药物坚持之间的关联.
主要成果:
- 住房密度增加和每位居民的就业位增加与更高的坚持相关.
- 生活在城市集群中与增加的坚持有关.
- 患者搬迁,长途旅行到处方医生和使用社区药房等因素与较低的坚持有关.
- 拥有初级保健提供者 (PCP) 与更高的药物坚持有关.
结论:
- 公共可用的人口数据可以克服SDoH数据收集的挑战.
- 衍生的SDoH措施可以识别需要支持药物坚持的患者.
- 利用人口SDoH数据可以通过告知有针对性的干预措施来促进健康公平.
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