老年人对体重控制药物保险的看法
Lauren Oshman1,2, Matthias Kirch2, Erica Solway2
1Department of Family Medicine, University of Michigan, Ann Arbor.
JAMA network open
|March 26, 2025
概括
大多数老年人支持医疗保险覆盖体重控制药物. 超过一半的BMI为30以上的人对使用这些FDA批准的药物感兴趣.
科学领域:
- 老年学是一门学科.
- 医疗保健服务研究 医疗服务研究
- 药物经济学 药物经济学
背景情况:
- 许多FDA批准的减肥药物缺乏医疗保险和商业保险公司的保险.
- 体重控制药物,包括克林仿制药,对于治疗老年人肥胖至关重要.
研究的目的:
- 评估老年人对减肥药物的兴趣.
- 了解对这些药物的保险覆盖的看法,特别是医疗保险.
主要方法:
- 来自50-80岁美国成年人全国代表性样本的横截面调查数据.
- 分析对减肥药物的兴趣和对保险覆盖的看法.
主要成果:
- 35.1%的参与者对体重控制药物表达了兴趣,体重指数≥30.0的人群中,这一比例上升至59.1%.
- 过去的药物使用和较高的BMI与兴趣有很强的关联.
- 83.2%的人认为医疗保险应该覆盖这些药物,75.7%的人支持医疗保险.
结论:
- 大多数老年人赞成医疗保险覆盖体重控制药物.
- 研究结果支持将这些药物纳入保险计划,以管理肥胖和医疗保健成本.
相关概念视频
Drug Therapy
32
The advent of drug therapy has profoundly shaped modern mental health care, providing targeted treatments for a range of psychological disorders. Psychotherapeutic drugs, classified into antianxiety, antidepressant, and antipsychotic medications, address symptoms across anxiety disorders, mood disorders, and schizophrenia. While these medications have transformed patient outcomes, they require careful management due to their potential side effects and limitations.
Antianxiety Medications
Antianxiety Medications
32
Antidepressant Drugs: MAOIs and Other Agents
173
Atypical antidepressants, including bupropion (Wellbutrin), mirtazapine (Remeron), nefazodone (Serzone), trazodone (Desyrel), and vilazodone (Viibryd), offer unique mechanisms of action. Bupropion weakly inhibits dopamine and norepinephrine reuptake, aiding depression treatment and smoking cessation, with a low risk of sexual dysfunction. Mirtazapine enhances serotonin and norepinephrine neurotransmission, leading to sedation, increased appetite, and weight gain. As a result, it helps treat...
173
Insulin: Dosing Regimen and Adverse Effects
132
Insulin-replacement therapy usually includes both long-acting insulin (basal) and short-acting insulin (to cater to postprandial needs). In a diverse group of type 1 diabetes patients, the average daily insulin dose is typically 0.5-0.7 units/kg body weight. However, obese patients and pubertal adolescents may need more due to insulin resistance.
The basal dose constitutes about 40%-50% of the total daily dose, with the rest as premeal insulin. The mealtime insulin dose should mirror...
The basal dose constitutes about 40%-50% of the total daily dose, with the rest as premeal insulin. The mealtime insulin dose should mirror...
132
Obesity
353
The Body Mass Index (BMI) is a numerical value derived from a person's weight and height, used to categorize individuals into weight ranges. It is calculated using the formula: weight in kilograms divided by height in meters squared. Obesity is a health condition characterized by excessive accumulation of adipose tissue that poses health risks, often diagnosed with a BMI ≥ 30. This excess fat storage occurs when surplus dietary calories are converted into triglycerides and stored in...
353
Prescription, Nonprescription and Orphan Drugs
673
Prescription drugs require a prescription from a medical practitioner and can only be obtained from a pharmacy. They have many applications, including treating pain, anxiety, and hypertension.
The misuse and addiction to prescription drugs is a growing problem that can affect people of all age groups, specifically teenagers. This can happen when prescription medications are used in ways not intended by the prescriber, such as taking someone else's prescription or using medication for...
The misuse and addiction to prescription drugs is a growing problem that can affect people of all age groups, specifically teenagers. This can happen when prescription medications are used in ways not intended by the prescriber, such as taking someone else's prescription or using medication for...
673
Diabetes: Management and Pharmacotherapy
216
The therapy for diabetes aims to alleviate hyperglycemia-related symptoms, prevent acute metabolic decompensation, and reduce chronic end-organ complications. Glycemic control is evaluated through short-term (self-monitoring, continuous glucose monitoring) and long-term (A1c, fructosamine) metrics, enabling near real-time tracking of blood glucose levels and reflecting glycemic control over specific time frames.
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
216


