眼治疗和剥夺:对英国一般处方实践的时间序列分析
Jeremy Hooper1, Cecilia Helen Fenerty2,3,4,5, James Roach1
1Conclusio, Ty Derw Lime Tree Court, Cardiff Gate Business Park, Cardiff, UK.
BJGP open
|May 28, 2024
概括
在贫困地区,对前列腺素类似物 (PGA) 开处方治疗青光眼的比例较低,吸收时间延迟了12个月. 这项研究突出了初级保健医院对青光眼治疗的差异.
科学领域:
- 眼科医生 眼科 眼科
- 初级医疗保健医学 一级医疗保健医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 局部滴眼药,特别是前列腺素类似药 (PGAs),是第一线治疗青光眼的方法.
- 虽然晚期青光眼呈现与贫困有关,但最近缺乏关于初级保健处方差异的数据.
研究的目的:
- 分析六年来英语一般实践中PGA处方的趋势.
- 调查社会经济贫困与PGA处方模式之间的关联.
主要方法:
- 分析NHS商业服务局 (NHSBSA) 的一般实践处方数据 (2016-2022年).
- 将处方数据与GP实践的多重贫困指数 (IMD) 五分位数联系起来.
- 时间序列和自回归集成移动平均线 (ARIMA) 建模,以比较国家和贫困地区的处方率.
主要成果:
- 前列腺素类似物 (PGAs) 构成了青光眼的重要组成部分.
- 观察到每月处方的数量略有增加,在COVID-19大流行期间有所下降.
- 贫困地区的PGA处方率较低,与全国平均水平相比,PGA的处方率有12个月的滞后.
结论:
- 在初级保健中,PGA处方率在贫困地区相比富裕地区要低得多.
- 在更贫困的地区,PGA吸收存在显著的~12个月延迟.
- 需要进一步的研究来理解和解决这些处方差异,以减少健康不平等.
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