评估2020年医疗保险D部分人口中Beers药物使用率的流行情况
1University of California San Diego Skaggs School of Pharmacy and Pharmaceutical Sciences, La Jolla, California, USA.
Journal of the American Geriatrics Society
|May 6, 2024
概括
2020年,数以百万计的潜在不合适的药物被处方给老年人,尽管有指导方针. 这项研究强调了老年人持续使用高风险药物的情况,表明需要改进药物管理策略.
科学领域:
- 老年学是一门学科.
- 药理学 药理学是指药理学的学科.
- 公共卫生 公共卫生
背景情况:
- 在美国,药物使用正在增加,这增加了老年人药物相互作用和不良事件的风险.
- 美国老年病学学会 (AGS) 提供了针对老年人潜在不适当药物 (PIM) 使用的更新的酒标准.
- 评估PIM使用率对于改善老年人药物治疗至关重要.
研究的目的:
- 评估医疗保险受益者在2019年AGS Beers标准中列出的药物的使用情况.
- 在老年人群中量化PIM的流行率和相关成本.
主要方法:
- 对2020日历年医疗保险D部分提供者利用和支付数据的分析.
- 药物的识别和分类基于2019年AGS酒标准,特别是"避免"和"谨慎使用"清单.
- 检查已识别的PIM的处方数量和药物费用.
主要成果:
- 2020年,医疗保险65岁以上的医疗保险患者获得了5600万份"避免"药物处方,耗资9.57亿美元. 型抗抑郁药,Z型药物,长效硫尿素,第一代抗胰岛素和三环抗抑郁药是最常见的.
- 此外,发放了1.35亿份"谨慎使用"药物处方,成本超过28亿美元. 利尿剂,SSRI,SNRIs,特拉马多尔和米尔塔扎是最常用的.
- 总体而言,在向医疗保险D部分受益者发放的所有药物中,16%被确定为可能不合适的药物.
结论:
- 尽管有AGS Beers标准,但对Medicare受益人发放的药物的很大一部分仍然可能不合适.
- 需要进一步的研究来确定PIM利用对老年人健康结果的影响.
- 这些发现强调需要加强对老年人群的药物审查和减缓处方干预措施.
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