在一般诊所处方中使用核心药物:一项试点研究评估了爱尔兰一般诊所中药物使用90%指数
Caroline McCarthy1, Patrick Moynagh1, Tom Fahey1
1Department of General Practice, Royal College of Surgeons in Ireland (RCSI) University of Medicine and Health Sciences, Dublin 2, Ireland.
British journal of clinical pharmacology
|December 9, 2024
概括
药物利用率90%指数 (DU90%) 在爱尔兰的一般实践中是可行的,表明医生在大多数处方中使用约140种药物. 这一指标可能与规定质量指标相关联.
科学领域:
- 药物经济学 药物经济学
- 一般实践一般实践
- 医疗保健服务研究 医疗服务研究
背景情况:
- 药物使用90%指数 (DU90%) 量化了核心处方模式.
- 了解处方习惯对于优化药物使用和医疗保健成本至关重要.
研究的目的:
- 在爱尔兰的一般实践环境中试点DU90%的应用.
- 检查DU90%与处方者/实践特征之间的关系.
- 调查DU90%与处方质量之间的关联.
主要方法:
- 来自爱尔兰全科医生的匿名处方数据 (2018-2022) 的回顾性观察研究.
- 在处方师和实践层面每年计算的DU90%.
- 多级建模用于探索与处方者人口统计学,实践特征和质量指标 (抗生素,二,NSAIDs) 的关联.
主要成果:
- 来自22个诊所的38名处方医生参与了调查;平均DU90%为~142.
- 获得农村贫困补助的实践有明显较低的DU90%.
- 处方者的特征 (性别,经验,工作量) 与DU没有关联90%.
- 更高的处方者DU90%与增加的总处方,抗生素/二胺使用以及高风险的NSAID处方相关.
结论:
- DU90%是分析爱尔兰一般实践中处方模式的可行工具.
- 一般医生通常使用大约140种药物进行大部分的处方.
- DU90%显示出作为处方质量的替代品的潜力,并可能告知有针对性的干预措施.
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