2019年和2020年老年人的布普伦诺芬处方实践
Natalie C Ernecoff1, Flora Sheng2, Jonathan Cantor3
1RAND, Pittsburgh, Pennsylvania, USA.
Journal of the American Geriatrics Society
|December 4, 2024
概括
一小群临床医生为患有阿片类药物使用障碍 (OUD) 的老年人提供大部分布普伦诺芬治疗. 这凸显了护理供应中的差距,以及需要可扩展的干预措施,以改善该人口获得OUD治疗的机会.
科学领域:
- 老年医学 老年医学
- 药理学 药理学是指药理学的学科.
- 公共卫生 公共卫生
背景情况:
- 在老年人中,阿片类药物使用障碍 (OUD) 的患病率显著增加.
- 老年人对OUD的治疗机会,特别是布普伦诺芬处方,仍然有限.
- 了解处方模式对于改善对这一群体的护理至关重要.
研究的目的:
- 描述老年人中的布普伦诺芬治疗模式.
- 为了确定临床医生给老年人开布伦诺芬的专业.
主要方法:
- 使用IQVIA真实世界数据-纵向处方 (2019-2020) 的回顾性观察研究.
- 定义"高处方"的临床医生是那些每年给>15个独特的老年人开处方的人.
- 使用T测试和千平方测试进行比较分析.
主要成果:
- 26,202名临床医生为67,921名老年人开处方布普伦诺芬.
- 一小部分 (5%) 的临床医生占所有老年人布普伦诺芬处方的36%.
- 初级保健临床医生和先进实践提供者是最常见的处方者,主要在城市地区.
结论:
- 一小部分临床医生负责大多数老年人布普伦诺芬处方.
- 有证据表明,对于这一群体来说,OUD治疗的提供存在显著的差距.
- 需要开发和测试可扩展的系统级干预措施,以提高现有医疗基础设施内的治疗可用性.
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