在传统医疗保险受益者中治疗阿片类药物使用障碍的药物:与年龄的关联
David A Ganz1,2,3, Julie Lai1, Jonathan H Cantor1
1Health Division, RAND, Santa Monica, CA 90401, United States.
Health affairs scholar
|March 5, 2025
概括
在老年人中,阿片类药物使用障碍 (OUD) 正在增加. 这项研究发现,在老年医疗保险受益者中,OUD (MOUD) 启动和保留药物的药物使用率明显较低,这凸显了对年龄特定策略的需求.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 药理学 药理学是指药理学的学科.
背景情况:
- 在老年人 (年龄≥50岁) 中,阿片类药物使用障碍 (OUD) 的患病率正在增加.
- 治疗OUD (MOUD) 的药物是有效的治疗方法,但在老年人群中使用它们的研究不足.
- 目前对OUD老年人提供MOUD的数据有限.
研究的目的:
- 确定老年医疗保险受益人与OUD之间的MOUD启动,参与和保留率.
- 调查老年与MOUD吸收之间的关联.
- 在这个人口群体中确定影响MOUD启动的因素.
主要方法:
- 对2016-2020年医疗保险索赔数据的分析,用于新发生OUD病例的受益人.
- 计算MOUD启动率 (14天内),参与率 (34天内) 和保留率 (180天内).
- 多变量逻辑回归以评估年龄,性别和并发症评分对MOUD启动的影响.
主要成果:
- 在40336名受益者中,只有1.3%的受益者启动了MOUD,1.1%的受益者实现了参与,0.8%的受益者被保留.
- 年龄较大与减少MOUD启动显着相关 (50-64岁的aOR为0.79和≥65岁的aOR为0.36,而20-49岁的aOR为0.36).
- 女性性别和更高的并发症分数也与较低的MOUD启动率相关.
结论:
- 与年轻人相比,患有OUD的老年人不太可能开始并保持MOUD.
- 目前的MOUD治疗率在这个医疗保险人口中的所有年龄组都很低.
- 针对年龄的具体策略对于改善老年人OUD的MOUD访问和保留至关重要.
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