南非Gauteng的心理健康服务:使用药物数据进行代理评估
Lesley J Robertson1,2, Jade C Bouwer3,4
1Department of Psychiatry, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
概括
大多数精神,神经和物质使用障碍药物都由高省的一般医疗保健服务提供. 然而,采购的变化表明,在不同服务水平上,在获得心理健康护理方面存在潜在的不平等.
科学领域:
- 公共卫生 公共卫生
- 药学流行病学 药学流行病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 南非立法要求公平获得整合在一般医疗保健中的精神卫生保健.
- 精神,神经和物质使用障碍 (MNS) 经常是伴随性疾病,凸显了综合护理的需要.
- 药物流行病学提供了对可用药物治疗的疾病提供服务的间接见解.
研究的目的:
- 评估高省各级公共卫生服务中针对MNS疾病的药物采购模式.
- 评估与服务人口相关的MNS疾病药物的分配和成本.
主要方法:
- 高州制药数据库的二次分析.
- 使用的解剖治疗化学物质 (ATC) 分类和定义的每日剂量 (DDD) 方法.
- 计算DDD和每1000人口的成本,并使用千平方测试进行统计比较.
主要成果:
- 一般医疗保健机构占MNS疾病药物支出的90%和DDD的94%.
- 地区诊所采购了60%的DDD,但人均采购量最低,而地区医院的采购量最高.
- 在大多数ATC类的市政和服务水平之间观察到采购的显著差异.
结论:
- 虽然一般医疗保健服务在高省采购了大多数MNS疾病药物,但采购差异表明在获取方面存在潜在的不平等.
- 地区诊所可能有较低的人口覆盖率,而地区医院可能面临更高的护理负担.
- 建议进一步研究每个服务级别的护理质量,以确保提供公平的心理健康护理.
相关概念视频
01:19Pharmacovigilance
830
Post-marketing surveillance is a critical component of pharmaceutical regulation, often uncovering unanticipated adverse drug reactions (ADRs) once a drug is widely used over an extended period.
This process, termed pharmacovigilance, aims to detect, evaluate, and minimize harmful effects related to medication use. The data collection for pharmacovigilance depends on spontaneous reporting systems, where healthcare professionals or patients voluntarily report suspected ADRs.
In some cases, there...
This process, termed pharmacovigilance, aims to detect, evaluate, and minimize harmful effects related to medication use. The data collection for pharmacovigilance depends on spontaneous reporting systems, where healthcare professionals or patients voluntarily report suspected ADRs.
In some cases, there...
830
01:17Healthcare Agencies II
698
There are various healthcare agencies in the United States—some of which are managed by religious institutions and others by different government branches.
Parish nursing is a growing specialty nursing profession that focuses on holistic healthcare, health promotion, and illness prevention. It blends professional nursing practice with a health ministry, focusing on health and healing within the context of a Christian community. Parish nurses serve as health educators, referral sources,...
Parish nursing is a growing specialty nursing profession that focuses on holistic healthcare, health promotion, and illness prevention. It blends professional nursing practice with a health ministry, focusing on health and healing within the context of a Christian community. Parish nurses serve as health educators, referral sources,...
698
01:28Drug Therapy
43
The advent of drug therapy has profoundly shaped modern mental health care, providing targeted treatments for a range of psychological disorders. Psychotherapeutic drugs, classified into antianxiety, antidepressant, and antipsychotic medications, address symptoms across anxiety disorders, mood disorders, and schizophrenia. While these medications have transformed patient outcomes, they require careful management due to their potential side effects and limitations.
Antianxiety Medications
Antianxiety Medications
43
01:54The Placebo Effect
6.2K
The placebo effect occurs when people's expectations or beliefs influence or determine their experience in a given situation. In other words, simply expecting something to happen can actually make it happen.
6.2K
01:12Analysis of Population Pharmacokinetic Data
254
Analysis of population pharmacokinetic data involves studying the behavior of drugs within diverse populations to understand their pharmacokinetic parameters. Traditional pharmacokinetic methods typically involve collecting samples from a few individuals and estimating these parameters. While these methods are commonly used, they have limitations in capturing the variability in drug response among individuals or heterogeneous populations. Population pharmacokinetics is employed to address these...
254
02:07Blind Procedures
10.6K
Ideally, the people who observe and record the children’s behavior are unaware of who was assigned to the experimental or control group, in order to control for experimenter bias. Experimenter bias refers to the possibility that a researcher’s expectations might skew the results of the study. Remember, conducting an experiment requires a lot of planning, and the people involved in the research project have a vested interest in supporting their hypotheses. If the observers knew which...
10.6K