使用药物记录手册评估共享药物历史的现状:使用日本国家索赔数据库进行的一项回顾性研究
Hiroyuki Ura1, Makoto Senoo2, Kiyoshi Kubota1
1Department of Clinical Pharmacy, Shonan University of Medical Sciences, Yokohama, JPN.
Cureus
|May 28, 2024
概括
COVID-19大流行并没有改变日本的处方和发行分离率. 在医疗环境中增加药物记录手册 (MRH) 的使用可能会促进其在牙科的使用.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 制药政策 制药政策
- 公共卫生 公共卫生
背景情况:
- 在全球范围内,COVID-19大流行影响了医疗保健的获取和药物管理.
- 日本的医疗实践和药房分离系统对大流行病的反应,特别是关于药物记录手册 (MRH) 的反应,仍未得到充分研究.
- 了解这些影响对于优化药物护理提供至关重要.
研究的目的:
- 分析COVID-19流行病对日本医疗和牙科实践中处方和发行分离的影响.
- 评估患者携带的药物记录手册 (MRH) 在共享药物信息中的使用情况.
- 评估外部处方 (EP) 率,内部处方 (IP) 和MRH利用率之间的相关性.
主要方法:
- 使用了日本国家医疗保险索赔和特定健康检查数据库 (NDB).
- 分析了外部处方 (EP) 率作为处方分开的主要指标.
- 在门诊药物指导期间,与MRH利用率相关联的EP率,医学IP和牙科IP与MRH利用率.
主要成果:
- 在疫情期间,无论是在医疗或牙科领域,都没有观察到EP率的显著变化.
- 在EP率和医疗IP之间以及医疗和牙科IP之间发现了显著的正相关性.
- 在EP率和牙科IP之间没有发现显著的相关性,这表明信息共享的断开.
结论:
- 在日本,COVID-19大流行并没有实质性地改变处方分发分离模式.
- 在医疗机构中积极实施和推广MRH可能会增强其在牙科环境中的使用.
- 需要进一步的战略来改善信息共享和牙科中MRH的使用,以实现综合制药护理.
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