在布普伦诺啡因的地理可用性方面存在种族和民族差异
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Updated: Jun 24, 2025

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Published on: September 1, 2016
Coleman Drake1, Dylan Nagy, Mark K Meiselbach
1From the Department of Health Policy and Management, University of Pittsburgh School of Public Health, Pittsburgh, PA (CD, DN); Department of Health Policy and Management, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD (MKM, BS, DP); Division of General Internal Medicine and Geriatrics, School of Medicine, Oregon Health & Science University, Portland, OR (JMZ); and RAND Corporation, Santa Monica, CA (BDS).
在少数民族地区,处方医生的数量较少,对布普伦诺啡的获取不公平. 需要努力在城市少数群体社区的临床医生中增加处方,以改善过量治疗的机会.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 药物使用障碍 药物使用障碍
背景情况:
- 过量服用死亡率不成比例地影响到种族和少数民族群体.
- 布普伦诺啡的处方数量有所增加,但获取可能不公平.
- 在不同人群中布普伦诺芬的地理可用性需要检查.
研究的目的:
- 评估布普伦诺啡因的公平地理可用性.
- 检查在种族和少数民族度高的地区布普伦诺芬处方者密度和处方率.
- 根据种族,族裔和农村地区来确定布普伦诺啡因获取的差异.
主要方法:
- 使用了IQVIA处方和OneKey数据,以及微软的Bing地图.
- 每1000名居民的布普伦诺芬处方人数计算在30分钟车程内.
- 按邮政编码,少数民族组成和农村地区对处方者可用性和开处方的估计差异.
主要成果:
- 在城市和农村的邮政编码中,布普伦诺芬处方者的可用性显著下降,种族和少数民族群体的比例更高.
- 少数民族构成较大的地区的人均布普伦诺芬处方者显著减少.
- 人均分发布普伦诺芬的差异也被观察到,并且规模更大.
结论:
- 公平的布普伦诺芬获取需要增加处方临床医生的数量.
- 有针对性的努力至关重要,以促进在城市地区的临床医生中布普伦诺芬处方,其中有显著的少数民族人口.
- 解决地理和处方差异对于改善过量治疗公平性至关重要.
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