2017年北卡罗来纳州的STOP法案与阿片类药物分发的加速减少有关:全州分析,2013-2019年
Chris Gillette1,2, Amber K Brooks3, Gayle B Bodner1,3
1Department of PA Studies, School of Medicine, Wake Forest University.
North Carolina medical journal
|September 23, 2024
概括
北卡罗来纳州的STOP法案与减少阿片类药物处方和日数相关.
科学领域:
- 公共卫生 公共卫生
- 药物经济学 药物经济学
- 卫生政策研究 卫生政策研究
背景情况:
- 阿片类药物处方模式及其对公共卫生结果的影响.
- 立法干预在控制阿片类药物使用中的作用.
- 医疗保险D部分受益人作为研究处方药趋势的关键人群.
研究的目的:
- 量化北卡罗来纳州STOP法案之前和之后的阿片类药物发行和供应日的变化.
- 评估NC STOP法案对助理医生和执业护士处方的影响.
- 评估NC STOP Act与减少阿片类药物处方日供应之间的关联.
主要方法:
- 医疗保险D部分公共用途档案 (2013-2019) 的二次分析.
- 包括北卡罗来纳州的提供者,选择日程表II (CII),III (CIII) 药物,以及特拉马多尔 (CV).
- 使用多变量波桑回归模型进行数据分析.
主要成果:
- 包括阿片类药物的受人口调整后索赔数量从2013年的180,565.2/100,000下降到2019年的79,329.12/100,000.
- 多变量模型表明,对于CII,CIII和tramadol,每个提供商的索赔和NC STOP Act后的供应日减少.
- 在研究期间观察到的CII,CIII和特拉马多尔的处方总体下降.
结论:
- 自2013年以来,在医疗保险受益者中观察到阿片类药物处方的下降趋势.
- 在NC STOP法案实施后,阿片类药物使用的这种趋势加速了.
- 该研究强调了立法措施对阿片类药物处方行为的潜在影响.
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