提供者之间最初的阿片类药物处方实践,治疗阿片类药物先验的美国军事样本
Jenneth Carpenter1, R S Adams2, A Linton3
1Institute for Behavioral Health, Brandeis University Heller School for Social Policy and Management, Waltham, Massachusetts, USA jcarpenter@brandeis.edu.
牙科护理显著推动了美国年轻军人最初的阿片类药物处方. 支持牙科提供者的干预措施对于遵守指南的处方和减少长期阿片类药物使用风险至关重要.
科学领域:
- 公共卫生 公共卫生
- 药理学 药理学是指药理学的学科.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 由于指导方针和政策变化,一般阿片类药物处方减少了.
- 了解最初的阿片类药物处方实践对于预防长期阿片类药物使用至关重要.
- 需要初始阿片类药物处方的最新数据来告知干预措施.
研究的目的:
- 探索军事卫生系统 (MHS) 中最初的阿片类药物处方和处方实践.
- 为了确定最初的阿片类药物处方和相关的医疗保健遭遇的特征.
- 分析处方者的特征和阿片类药物处方模式.
主要方法:
- 从2015年10月到2021年9月使用MHS数据进行横截面研究.
- 研究了166万名美国服务人员,其中一个子组为372,960人,最初接受了阿片类药物处方.
- 首次接受阿片类药物的特征与整体样本进行比较,详细说明处方,遭遇和处方者数据.
主要成果:
- 最初的阿片类药物填充平均需要4天的供应和30毫克吗啡等价物 (MME).
- 10%的处方者占初始阿片类药物填充的64%和MME的67%.
- 牙科接触 (38%) 和肌肉骨疾病 (19%) 是关键驱动因素;牙医发行了32%的填充和25%的MME.
结论:
- 牙科护理是MHS中年轻,完全覆盖的服务人员最初接受阿片类药物的重要因素.
- 建议采取干预措施,以支持牙科提供者遵守处方指南.
- 有针对性的策略可以帮助减轻与类似人群初始阿片类药物处方相关的风险.
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