长期疾病处方持续时间的变化:使用OpenPrescribing在英国NHS初级保健中的队列研究
Brian MacKenna, Andrew D Brown1, Richard Croker2
1Oxford University, Oxford, United Kingdom.
概括
一个月的重复处方是英格兰长期疾病的常见情况,区域差异很大. 发行实践和电子健康记录系统影响处方时间,突出了政策变革的机会.
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
- 一般实践 一般实践
背景情况:
- 许多患者依赖常规药物治疗长期疾病 (LTC).
- 目前在英格兰的重复处方持续时间缺乏国家指导.
- 处方药通常发行时间为1至3个月.
研究的目的:
- 描述英格兰常见LTC目前的处方持续时间.
- 探索和可视化处方的地理差异.
- 为了确定与政策告知较短处方期限相关的实践因素.
主要方法:
- 使用英语GP处方数据的回顾性队列研究 (2018年12月至2019年11月).
- 对常见LTC药物的处方持续时间进行分析 (拉米普利,阿托瓦斯塔丁,西姆瓦斯塔丁,勒沃西,阿姆洛迪平).
- 评估临床调试组 (CCG) 与实践层面因素之间的区域差异.
主要成果:
- 28天 (每月一次) 的处方占发行的片/囊的48.5%;43.6%为56天 (每月两次).
- 观察到28天处方的区域差异很大 (7.2%至95.0%).
- 实践处方状态是处方持续时间的最强预测因素,其次是使用LTC和EHR软件的患者比例.
结论:
- 一个月的处方时间对于常规的长期疾病药物是普遍存在的,特别是在分发实践中.
- 电子健康记录配置为英国实施和评估新的处方期限政策提供了一个途径.
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