慢性病的相关因素和原因 药物供应过剩 药物供应过剩
Junko Tomida1, Chihiro Wasa2, Ramune Jacobsen3
1Kagawa School of Pharmaceutical Sciences, Tokushima Bunri University.
Biological & pharmaceutical bulletin
|December 8, 2024
概括
日本的药物供应过剩与频繁的早期处方补充和住院处方有关. 了解这些因素是减少药物浪费的关键.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 制药政策 制药政策
- 老年医学 老年医学
背景情况:
- 药物供应过剩导致大量浪费,但其触发因素尚未得到充分理解.
- 识别导致药物供应过剩的因素对于制定有针对性的干预措施至关重要.
研究的目的:
- 为了确定慢性病药物供应过剩的相关因素和原因在日本.
- 分析定量和定性数据,以了解药物供应过剩的触发因素.
主要方法:
- 全国回顾性队列研究使用2019年保险索赔数据.
- 在55岁以上的个体中,计算了五个主要慢性疾病药物类别的多余日.
- 使用后勤回归用于定量分析和药物历史审查用于对供应过剩原因的定性分析.
主要成果:
- 频繁的早期供应 (≥6 vs. <3 倍/10 供应),住院处方和大量同时使用的成分 (≥16 vs. 1-5) 与药物供应过剩有关.
- 确定的主要原因是"在单一设施处方的药物的早期供应".
结论:
- 日本药品供应过剩的因素和原因可能受到医疗保健系统的独特特征和做法的影响.
- 研究结果可以为减少药物浪费和提高医疗保健效率的策略提供信息.
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