索赔数据分析提供商对提供商电话辅导计划对密苏里州阿片类药物处方的影响
Olabode B Ogundele1, Xing Song2, Praveen Rao3
1Institute for Data Science and Informatics; Missouri Telehealth Network, University of Missouri, Columbia, Missouri.
在虚拟电话辅导计划中的初级保健提供者显示,高剂量阿片类药物处方减少了. 社区医疗保健成果 (ECHO) 的Show-Me项目扩展改善了慢性疼痛患者的安全阿片类药物处方.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 医学教育 医学教育
- 疼痛管理 疼痛管理
背景情况:
- 初级保健提供者 (PCP) 在管理慢性疼痛和安全处方阿片类药物方面面临挑战.
- 电话辅导计划提供了一个可扩展的解决方案,以提高PCP知识和技能.
研究的目的:
- 评估虚拟远程辅导计划对PCP阿片类药物处方模式的影响.
- 为了比较参与社区医疗保健成果 (ECHO) 展现项目扩展的PCP与非参与者之间的阿片类药物处方.
主要方法:
- 利用密苏里州的医疗补助申请 (2013-2021) 来分析阿片类药物处方剂量和每日供应.
- 通过 propensity score匹配,将参与ECHO计划的PCP与非参与者进行了匹配.
- 比较的处方率超过50毫克吗啡等价物 (MMEs),平均MMEs/天,平均每日供应.
主要成果:
- ECHO参与者处方的阿片类药物剂量>50MME/天的概率降低了33% (p < 0.001).
- ECHO提供者处方的阿片类药物的平均剂量减少了14% (p < 0.001).
- 在ECHO提供者的患者中,阿片类药物的平均每日供应减少了3% (p < 0.001).
结论:
- 疼痛管理ECHO计划有效地为PCP提供了疼痛管理和安全处方阿片类药物的技能.
- 虚拟远程指导可以提高在初级保健机构处方阿片类药物的质量和安全性.
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