综合药物审查与慢性阻塞性肺部疾病的医疗保险受益者之间的药物坚持之间的联系
Xiangjun Zhang1, Yongbo Sim1, Chi Chun Steve Tsang1
1Department of Clinical Pharmacy & Translational Science, University of Tennessee Health Science Center College of Pharmacy, 881 Madison Avenue, Memphis, TN 38163, USA.
Exploratory research in clinical and social pharmacy
|July 25, 2024
概括
综合药物评估 (CMR) 对慢性阻塞性肺病 (COPD) 的医疗保险受益人显著改善了药物坚持. 这一发现凸显了CMR服务对COPD管理的重要性.
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
- 慢性疾病管理 慢性疾病管理
背景情况:
- 医疗保险D部分要求药物治疗管理 (MTM) 服务以优化药物使用.
- 综合药物评估 (CMR) 是MTM的一个关键组成部分.
- 对于慢性阻塞性肺病 (COPD) 患者来说,尽管有治疗方法,但药物坚持仍然是一个挑战.
研究的目的:
- 评估综合药物评价 (CMR) 对被诊断患有COPD的医疗保险受益人的药物坚持的影响.
主要方法:
- 对2016-2017年医疗保险数据的分析与区域健康资源文件相关联.
- 2017年接受CMR的COPD患者与未接受MTM服务的对照组进行比较.
- 倾向性得分匹配和差异逻辑回归以评估坚持 (覆盖日数比例≥80%).
主要成果:
- 这项研究包括25564名患有COPD的医疗保险受益者.
- 在CMR干预组中,药物坚持显著增加 (60.08%至69.38%,P<.001).
- 接受CMR治疗的患者与对照组相比,药物坚持率增加了59% (aOR = 1.59).
结论:
- 综合药物审查 (CMR) 与医疗保险中COPD患者改善药物坚持有关.
- 政策制定者建议确保患有COPD的医疗保险受益人获得CMR服务.
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