一个纵向多变量分析:国家政策和阿片类药物在接受手术的医疗保险受益者处分
Kelsey C Priest1,2, Jessica S Merlin3, Julie Lai4
1Department of Psychiatry, Stanford University School of Medicine, Stanford, CA, USA. kpriest@stanford.edu.
国家政策对医疗保险手术患者的外科手术期阿片类药物处方产生了适度的影响. 虽然阿片类药物使用率略有增加,但每日剂量和供应日减少,可能是由于更广泛的社会趋势.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 公共卫生政策 公共卫生政策
- 疼痛管理 疼痛管理
背景情况:
- 阿片类药物处方政策旨在减少不必要的使用.
- 很少有研究分析国家政策对手术患者阿片类药物趋势的影响.
研究的目的:
- 检查医疗保险受益人的外科手术期间阿片类药物开放趋势.
- 评估国家政策对这些趋势的影响.
主要方法:
- 使用医疗保险索赔数据进行回顾性队列研究 (2006-2018).
- 分析了接受常见外科手术的个体.
- 审查的国家政策:PDMP使用,处方时间限制,CME疼痛管理.
主要成果:
- 从2007年至2018年期间,外科手术期间的阿片类药物开放量增加;MMED和日供应量下降.
- 没有任何州政策影响了外科手术期间阿片类药物开放的可能性.
- CME疼痛和持续时间限制政策显示,与供应减少和MMED的关系很小.
结论:
- 国家政策对外科手术患者的外科手术期间阿片类药物处方的影响有限.
- 观察到的MMED和日供应的减少可能反映了更广泛的社会转变.
- 政策可能对这一群体的临床结果产生最小的直接影响.
更多相关视频
09:54Combining Laser Capture Microdissection and Microfluidic qPCR to Analyze Transcriptional Profiles of Single Cells: A Systems Biology Approach to Opioid Dependence
Published on: March 8, 2020
14:56An Experimental Paradigm for the Prediction of Post-Operative Pain PPOP
Published on: January 27, 2010
相关概念视频
Opioid Analgesics: Synthetic and Semisynthetic Opioids
Opioid Analgesics: Morphine and Other Natural Cogeners
Analgesia and Pain Management
Parameters Affecting Nonlinear Elimination: Zero-Order Input, First-Order Absorption and Two-Compartment Model
When a drug is administered through a constant intravenous infusion and eliminated via nonlinear pharmacokinetics, it follows zero-order input. For example, oral drugs undergo first-order absorption upon administration and are eliminated through nonlinear pharmacokinetics.
In the case of subcutaneously administered drugs,...
Analysis of Population Pharmacokinetic Data
Prescription, Nonprescription and Orphan Drugs
The misuse and addiction to prescription drugs is a growing problem that can affect people of all age groups, specifically teenagers. This can happen when prescription medications are used in ways not intended by the prescriber, such as taking someone else's prescription or using medication for...
