2018年至24年,布普伦诺芬摄入量大幅增加的州增加了医疗补助处方
Stephen Crystal1, Fangzhou Xie2, Hillary Samples3
1Stephen Crystal (scrystal@ifh.rutgers.edu), Rutgers University, New Brunswick, New Jersey.
联邦政策旨在促进阿片类药物使用障碍的布普伦诺芬处方, 但在州级取得了不同程度的成功. 医疗补助的扩张对处方率产生了重大影响,突显了医疗补助在获得治疗方面的关键作用.
科学领域:
- 卫生政策
- 药物使用障碍
- 药理学
背景情况:
- 在美国,阿片类药物使用障碍 (OUD) 仍然是一个重大的公共卫生危机.
- 自2018年以来颁布的联邦政策旨在增加布诺芬处方以解决OUD治疗缺口.
- 国家处方趋势没有显示预期的增长,需要国家一级的分析.
研究的目的:
- 审查从2018年到2024年的布普伦诺芬处方的州级趋势.
- 评估联邦政策变化和州医疗补助扩大对布普伦诺芬处方率的影响.
- 识别导致不同州获得布诺芬的差异因素.
主要方法:
- 使用IQVIA数据,涵盖所有付费者和每个付费者的处方.
- 分析了2018-2024年期间所有美国州的处方数据.
- 相关的处方趋势与州医疗补助扩张状态和招生.
主要成果:
- 每1000名居民的全付费布雷诺芬处方在10个州增加了60%以上,在8个州下降了10%以上.
- 与没有扩大医疗补助的州相比,医疗补助的处方数量大幅增加.
- 医疗补助处方是整体处方变化的主要驱动因素,各州的比例和比例有很大差异.
结论:
- 联邦政策对布诺芬处方的影响主要取决于各州的具体因素.
- 医疗补助的扩大和持续的招生对于增加布诺芬的获取和解决OUD治疗缺口至关重要.
- 迫切需要采取公共卫生行动来维持医疗补助的扩张,并确保成年人获得OUD治疗.
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