医疗保险中的阿片类药物使用障碍治疗质量较低,
Contact us if these videos are not relevant.
Contact us if these videos are not relevant.
在PubMed上查看摘要
概括
此摘要是机器生成的。2020年,患有阿片类药物使用障碍 (OUD) 的医疗保险受益者接受的治疗质量不足. 只有不到40%的人符合OUD质量标准,而医疗保险优势和整体医疗保险的表现比医疗补助更差.
科学领域
- 医疗服务研究
- 公共卫生
- 卫生政策
背景情况
- 医疗保险和医疗补助服务中心 (CMS) 监测医疗补助受益人的阿片类药物使用障碍 (OUD) 治疗质量.
- 在医疗保险中缺乏对OUD治疗质量的全面评估.
- 在2022年,有190万名医疗保险受益者患有OUD,而老年人 (65岁以上) 的药物过量死亡人数增加最多.
研究的目的
- 评估2020年医疗保险受益人获得的OUD治疗质量.
- 在医疗保险 (服务费和医疗保险优惠) 和医疗补助中比较OUD治疗质量.
主要方法
- 使用医疗保险报名,索赔和遭遇数据进行分析.
- 评估了在2020年遵守八项国家认可的OUD质量标准.
主要成果
- 只有不到40%的OUD医疗保险受益者接受了与OUD质量措施一致的护理.
- 医疗保险优惠计划在八项质量指标中的六项表现比服务费医疗保险更差.
- 医疗保险在所有三个可比的OUD质量指标上表现较差.
结论
- 在医疗保险中,对OUD治疗质量的常规监测至关重要.
- 这些发现表明需要制定政策,以加强医疗保险注册人的OUD治疗.
- 持续监测可以评估实施的政策的有效性,以提高OUD护理质量.
相关概念视频
Synthetic and semisynthetic opioids are pivotal in pain management and tackling opioid addiction. Semisynthetic opioids, including morphinans (morphine derivatives), oxycodone, oxymorphone, hydrocodone, and hydromorphone, have improved pharmacokinetic profiles compared to morphine. Additionally, heroin and 6-MAM (6-Monoacetylmorphine) show better CNS penetration than morphine due to heightened lipid solubility. Hydromorphone, a potent opioid, undergoes hepatic metabolism to form the active...
Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
Opioids are a class of drugs that mimic endogenous opioid peptides and act on opioid receptors, and help in pain relief. These compounds are classified as natural, synthetic, or semi-synthetic. Natural opioids, like morphine, codeine, and thebaine, are derived from the opium poppy plant (Papaver somniferum or Papaver album) and are termed opiates. Synthetic opioids are artificial, while semi-synthetic opioids combine natural and synthetic compounds. Morphine, a prototypical opioid, possesses a...
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...
Opioid receptors, including the mu (μ, MOR), delta (δ, DOR), and kappa (κ, KOR) types, belong to the rhodopsin family of G protein-coupled receptors. These receptors are located throughout the central and peripheral nervous systems and in non-neuronal tissues such as macrophages and astrocytes. Opioid receptor ligands can be categorized into agonists or antagonists. Highly selective agonists include [d-Ala2, MePhe4, Gly(ol)5]-enkephalin or DAMGO for MOR, [D-Pen2,...
Drug dependence, abuse, and addiction are complex phenomena that can precipitate various abnormal states. Physical dependence refers to a state of pharmacological adaptation to a drug. This adaptation often results in tolerance—a reduced response to the drug after repeated administrations. When the drug use is abruptly stopped, withdrawal symptoms occur due to the body's need to readjust from the pharmacologically induced imbalance. However, tolerance and withdrawal symptoms do not...