利用药房索赔数据识别患有阿片类药物使用障碍风险的慢性处方阿片类药物的患者
Aleesha Jantzen1, Scott Thomas Hall2, Benjamin Lai3
1Department of Pharmacy, Regions Hospital, St. Paul, Minnesota, USA.
概括
药房索赔数据确定了患有阿片类药物使用障碍 (OUD) 风险的患者. 有针对性的处方者信息导致55%的患者进行干预,改善了OUD的识别和护理.
科学领域:
- 药理学 药理学是指药理学的学科.
- 公共卫生 公共卫生
- 医疗信息学 医疗信息学
背景情况:
- 阿片类药物使用障碍 (OUD) 是一个重大的公共卫生挑战.
- 识别有风险的个人进行早期干预至关重要.
- 药房索赔数据为人口健康管理提供了有价值的工具.
研究的目的:
- 使用药房索赔数据识别OUD高风险患者.
- 评估针对性处方者信息对OUD干预措施的影响.
- 评估使用索赔数据用于OUD查和干预的可行性.
主要方法:
- 从商业健康计划中对药店索赔数据的回顾性分析.
- 纳入标准:成年人 (≥18岁) 服用高剂量阿片类药物 (>90MME/天) 和长期使用阿片类药物 (≥90天).
- 干预:通过OUD资源与处方者进行安全的沟通;通过记录的阿片类药物使用变化来衡量结果.
主要成果:
- 745名成员被确定为OUD的高风险.
- 20名患者的一个子组证实了OUD风险因素.
- 在沟通后,16名提供者确认收到,11名患者 (55%) 接受了记录的干预措施.
结论:
- 根据药房索赔数据向处方者提出有针对性的,基于证据的建议,可以增加OUD的识别和干预.
- 这种方法表明了主动OUD管理的潜力.
- 需要对提供者教育和疗效评估进行进一步的研究.
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