追踪劳动力中五年趋势 处方精神药和药物治疗阿片类药物使用障碍:一个跨部门研究
Ellen Schenk1, Qian Luo2, Clese Erikson2
1Fitzhugh Mullan Institute for Health Workforce Equity, Department of Health Policy and Management, Milken Institute School of Public Health, George Washington University, Washington, DC, USA. eschenk@gwu.edu.
Journal of general internal medicine
|July 16, 2024
概括
从2017年到2021年,为阿片类药物使用障碍 (MOUD) 开处方精神药和药物的临床医生人数增加了2.7%,高级实践临床医生的数量显著增长. 初级保健医生和高级实践临床医生在开处方这些必需药物的过程中变得越来越重要.
科学领域:
- 行为健康 劳动力分析
- 药品处方趋势 药品处方趋势
- 阿片类药物使用障碍治疗治疗
背景情况:
- 越来越多的人对行为健康服务的需求需要准确的数据对处方专业人员.
- 有限的国家数据存在于员工处方精神药物和药物用于阿片类药物使用障碍 (MOUD).
- 目前的劳动力估计通常依赖于不太可靠的自我报告数据或临床医生名单.
研究的目的:
- 从2017年到2021年分析医疗保健工作人员处方精神药和/或MOUD的趋势.
- 为了在五年内确定处方者人口统计和处方模式的变化.
- 为参与精神药物和MOUD处方的专业人员提供数据驱动的概述.
主要方法:
- 使用IQVIA Xponent零售处方索赔数据从2017-2021年进行横截面分析.
- 纳入标准:临床医生每年处方>10个精神药物和/或MOUD的总处方.
- 分析包括处方,处方者,药物类型,专业,付款人和临床医生县乡村.
主要成果:
- 在2017年至2021年期间,心理药物和MOUD的处方者增加了2.7%.
- 在精神病学护士执业者 (44.7%),护士执业者 (25.5%) 和医生助理 (6.5%) 中,处方者增长率最高.
- 初级保健医生 (PCP) 和高级实践临床医生 (APC) 占劳动力的一半以上,农村PCP和APC撰写的月度处方最多.
结论:
- 处方数据为识别处方精神药物和MOUD的活跃劳动力提供了强大的代理.
- 这些发现强调了先进实践临床医生 (APC) 和初级保健医生 (PCP) 在行为健康和成治疗中的不断扩大的作用.
- 这项分析超越了专业名称,以捕捉这些关键药物的完整处方环境.
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