初级保健中的多药学:基于电子健康记录的基于人口的回顾性队列研究
Thomas Woodcock1,2, Derryn Lovett2,3, Gloria Ihenetu1,2
1Department of Primary Care and Public Health, School of Public Health, Imperial College London, London, United Kingdom.
PloS one
|September 4, 2024
概括
多药医疗影响英格兰9.4%的成年人,费用是非多药医疗患者的8.2倍. 年龄,贫困和虚弱显著影响多药制药的流行,突出了健康不平等.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 临床药房 临床药房
- 流行病学 流行病学
背景情况:
- 多药性 (处方多种药物) 对医疗保健系统构成了重大挑战.
- 之前的研究还没有量化英格兰人口层面的多药房流行率和相关成本.
研究的目的:
- 为了确定伦敦西北部大量成年人群中多药药的流行率和药物费用.
- 分析患者的特征,包括人口统计和脆弱性,如何与多药学相关.
主要方法:
- 一个回顾性队列研究,利用伦敦西北部的电子健康记录.
- 量化多药房流行率 (≥5种常用药物) 和直接药物成本.
- 采用混合效应物流回归来识别与多药学相关的因素,以脆弱性进行调整.
主要成果:
- 在170万成年人中,多药性被发现在9.4% (167,665) 的人群中.
- 患病率随着年龄,社会经济贫困和脆弱性显著增加.
- 男人和白人个体表现出多药性更高的几率,而黑人个体在平均虚弱的几率较低,但在虚弱度上升的几率增加.
- 多药房患者的年药费大大高 (370.89英),而非多药房患者 (45.31英) 的年药费大大高.
结论:
- 人口因素和脆弱性与多药学有显著的关联.
- 需要进一步的研究,以了解这些协会的根本原因,以解决健康不平等问题,并优化与多药相关的成本.
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