医疗保险受益人 通过驱动时间到阿片类药物治疗计划接收甲
Jonathan Cantor1, Helin G Hernandez1, Aaron Kofner2
1RAND, Santa Monica, California.
JAMA network open
|April 3, 2025
概括
阿片类药物治疗计划 (OTP) 的地理可用性显著影响阿片类药物使用障碍 (OUD) 的甲接收. 增加到OTP的行车时间减少了患者接受必要OUD药物的可能性.
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:
- 阿片类药物危机需要创新的政策来改善对阿片类药物使用障碍 (OUD) 药物的获取.
- 阿片类药物治疗计划 (OTP) 的地理可访问性是治疗利用的关键因素.
- 了解OTP接近与接受治疗之间的关联,可以为公共卫生战略提供信息.
研究的目的:
- 分析医疗保险受益人中甲分发的趋势,与他们与OTP的接近有关.
- 量化开车到OTP的时间对OUD患者接受甲治疗的影响.
主要方法:
- 一项利用2020年医疗保险服务费索赔的横截面研究,用于最近OUD诊断的受益人.
- 甲接收的数据与计算的行车时间被合并到最近的OTP.
- 使用后勤回归模型来评估驾驶时间和甲接收之间的关联.
主要成果:
- 2020年,超过64万名OUD医疗保险受益人中,9.6%的人在60分钟车程内缺乏OTP.
- 随着前往OTP的行车时间的增加,甲接收的概率显著下降,特别是在最初的15-20分钟内.
- 在20分钟左右的驾驶时间观察到值效应,此后甲接收率稳定并成为城市和农村受益者相似的.
结论:
- 靠近OTP设施是OUD患者接受美沙治疗的重要决定因素.
- OTPs的地理分布和可访问性在药物获取和人口健康结果方面发挥着至关重要的作用.
- 旨在增加OTP可用性的政策干预,特别是在服务不足的地区,对于打击阿片类药物危机至关重要.
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