在离开州监狱的成年人中,处方药的持续使用
Laura Dague1, Cici McNamara2, Ryan Westergaard3
1Bush School of Government and Public Service, Texas A&M University, College Station.
JAMA network open
|February 27, 2025
概括
监狱释放后慢性疾病的药物连续性是有限的,特别是对于那些没有门诊护理的人来说. 过渡期护理干预应侧重于将患者与临床医生联系起来.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 药理学 药理学是指药理学的学科.
背景情况:
- 在从监狱返回社区的成年人中观察到高发病率和死亡率.
- 确定处方需求对于设计干预措施至关重要,以减轻重新入境期间的健康风险.
研究的目的:
- 描述从监狱返回的成年人中慢性疾病的药物连续性的流行情况.
- 为了确定与释放后药物连续性相关的因素.
主要方法:
- 追溯队列研究,将威斯康星州惩戒和医疗补助部门的数据联系起来.
- 包括从监狱释放的成年人 (18-64岁) (2015年4月至2017年6月),并注册医疗补助.
- 定义药物连续性作为处方权利要求,在发布后6个月内与发布前药物相同的治疗类别.
主要成果:
- 在12960人中,31.2%接受了慢性病药物预释.
- 在51.7%的个体中观察到药物连续性,在药物类别中存在显著的变化.
- 连续性因种族,性别和年龄而异,并且在释放后门诊访问的人群中更高.
结论:
- 监禁和社区释放之间的处方连续性是有限的,特别是在释放后没有门诊护理的人身上.
- 有效的过渡性护理干预可能需要加强临床医生连接策略.
- 解决药物连续性的问题对于改善司法人员的健康结果至关重要.
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