北印度的玻璃眼药物处方模式:公共和私营部门医院
Shibal Bhartiya1, Parul Ichhpujani2, Uday Pratap Singh Parmar2
1Glaucoma Services, Department of Ophthalmology, Fortis Memorial Research Institute, Gurugram, Haryana, India.
Journal of current glaucoma practice
|April 8, 2024
概括
这项研究比较了公立和私立医院的青光眼药物处方,发现这两个部门都遵循合理药物使用原则. 没有防护剂的选择被青为更好的患者坚持.
科学领域:
- 眼科医生 眼科 眼科
- 药理学 药理学是指药理学的学科.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 玻璃眼是一种导致视觉功能障碍的视觉神经病,通常用多种眼内压力 (IOP) 降低药物进行治疗.
- 对抗白内障药物的处方模式,特别是公共和私人医疗保健部门的比较,没有得到充分的记录.
- 药物利用研究对于开发合理,负担得起和对眼睛表面友好的治疗策略至关重要.
研究的目的:
- 评估和比较公共与私人三级医院的抗白血病药物的处方模式.
- 分析两个医疗保健部门之间的药物选择,组合和配方偏好 (例如,固定药物组合,无防腐剂).
- 为了比较不同类型的青光眼的处方模式,特别是初级开角青光眼 (POAG) 和初级闭角疾病 (PACD).
主要方法:
- 一项回顾性研究分析了被诊断为绿眼病患者的336份处方.
- 收集的数据包括患者人口统计数据,青光眼类型,处方药的数量和性质,创新者与仿制药的使用,固定的药物组合 (FDC) 和无防腐剂配方.
- 公共部门 (I组) 和私营部门 (II组) 以及POAG和PACD之间的处方模式进行了比较.
主要成果:
- 在公共 (30.09%) 和私人 (38.33%) 部门,Travoprost 0.004%是最常被处方的单一抗白血病药物.
- 在私营部门最常见的组合是布里莫尼丁和布林佐胺 (14.17%),而在公共部门则是布里莫尼丁与蒂莫洛尔 (7.87%).
- 蒂莫洛尔和特拉沃普罗斯特是公共部门对PACD和POAG的主要药物.
结论:
- 公共和私人三级护理中心都证明了对玻璃眼的合理药物处方,与当前的治疗原则保持一致.
- 在这两个部门都观察到对无防腐剂的抗瘤配方的偏好,这可能会提高患者的坚持.
- 这些发现有助于对在不同医疗保健环境中用于治疗青光眼的药物使用提供有价值的见解.
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