为医疗补助受益人开设延长释放布普伦诺芬注射的处方,2018-2022年
Rachael K Ross1, Kara E Rudolph1, Chelsea L Shover2
1Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, USA.
Addiction (Abingdon, England)
|August 16, 2024
概括
在医疗补助受益者中,对于阿片类药物使用障碍 (OUD) 的延长释放布诺芬注射 (INJ-BUP) 的处方从2018年升至2022年. 然而,与其他国家相比,吸收率仍然较低.
科学领域:
- 药理学和公共卫生
- 药物使用障碍治疗 药物使用障碍治疗
- 医疗保健服务研究 医疗服务研究
背景情况:
- 延长释放布诺芬注射 (INJ-BUP) 为阿片类药物使用障碍 (OUD) 提供了一种新的治疗选择.
- 医疗补助计划的覆盖面对美国的OUD治疗机会至关重要.
- 之前关于医疗补助受益人使用INJ-BUP的数据是有限的.
研究的目的:
- 测量INJ-BUP的全国和州级处方趋势,用于医疗补助受益人自2018年推出以来.
- 评估医疗补助覆盖范围对INJ-BUP采用OUD治疗的影响.
- 为了确定INJ-BUP在不同美国州的采用率的差异.
主要方法:
- 国家药物使用数据 (2017-2022) 分析INJ-BUP和医疗补助公司支付的口服布普伦诺芬处方填充.
- 使用T-MSIS SUD数据计算每100名医疗补助受益人治疗OUD的处方填充量.
- 利用公开可用的数据源进行全面分析.
主要成果:
- 医疗补助支付的INJ-BUP处方填充量显著增加,从2018年的4,322 (0.1%) 增加到2022年的186,861 (2.0%).
- 填充量的同比增长加速,表明采用越来越多.
- 在不同州之间观察到INJ-BUP吸收的实质性变异.
结论:
- 对于OUD医疗补助受益人的INJ-BUP处方在2018年至2022年期间出现了大幅增长.
- 尽管有增长,但美国的INJ-BUP采用率不如其他国家在类似时期那么明显.
- 可能需要进一步的研究来理解和解决州一级的变化,并优化治疗准入.
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