与其他私人门诊专家相比,全科医生处方的替代药物的通用分发率:基于法国国家补偿数据库的研究
Hugo Figoni1,2, Sarah Robert1, Kim Bonello1
1Department of General Practice, School of Medicine, Sorbonne University, Paris, France.
The European journal of general practice
|October 14, 2024
概括
法国的全科医生 (GPs) 比其他专家处方更多的仿制药. 这项研究发现,与其他专业相比,法国全科医生对可替代药物的仿制药发行率更高,这突显了医疗保健成本节约的潜力.
科学领域:
- 卫生经济学 卫生经济学
- 制药政策 制药政策
- 一般实践 一般实践
背景情况:
- 通用药物的使用对于控制医疗保健成本至关重要,特别是在门诊护理环境中.
- 之前的研究表明,处方专业和仿制药的使用之间存在联系,全科医生 (GPs) 经常处方更多的仿制药.
- 这种关联在法国医疗保健系统中以前没有被调查过,尽管有立法促进仿制药的替代.
研究的目的:
- 为了比较法国私人全科医生 (GPs) 处方替代药物的仿制药开放率与其他医学专业.
- 单独评估一般医生与其他十九个不同的医疗专业的通用药物发行率.
主要方法:
- 来自2019年法国医疗保险体系的半聚合数据库的分析.
- 我们使用后勤回归模型来比较全科医生与所有其他专业的通用分发率,然后与每个专业单独比较.
- 该分析专注于不同专业普遍处方的可替代药物.
主要成果:
- 2019年,53.4%的处方门诊药物是可替代的,通用药的整体发行率为81.5%.
- 调整后的分析显示,与其他专业医生相比,一般医生处方的替代药物的仿制药发行率明显高 (ORa 0.74).
- 在19个个别专业中,包括内分泌学和心脏病学,有13个专业的通用药发行率明显低于全科医生;没有专业超过全科医生发行率.
结论:
- 法国私人全科医生处方的可替代药物在仿制形式的发行频率要高于其他门诊护理专业的药物.
- 需要进一步的研究来探索整个药物使用途径,从处方到患者接受,以优化在门诊环境中使用仿制药.
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