2013-2023年澳大利亚老年人处方药的发行模式
Hui Wen Quek1, Kenneth Lee1, Christopher Etherton-Beer2
1Centre for Optimisation of Medicines, School of Allied Health, The University of Western Australia, Perth, Western Australia, Australia.
Journal of the American Medical Directors Association
|September 5, 2025
概括
澳大利亚65岁以上的处方药从2013年至2023年减少. 一般医生 (GP) 的处方越来越多地被未分类的非专业提供者的处方所取代.
科学领域:
- 老年医学
- 医疗服务研究
- 药物经济学
背景情况:
- 澳大利亚药物福利计划 (PBS) 对老年人药物获取至关重要.
- 了解处方药的发展趋势对于医疗保健规划和资源分配至关重要.
研究的目的:
- 分析2013年至2023年期间65岁及以上澳大利亚人处方药的年度趋势.
- 确定在这种人口群体中为PBS药物发行贡献的处方者类型的转变.
主要方法:
- 一个回顾性描述性研究,使用澳大利亚PBS数据集的10%样本 (2013-2023年).
- 分析包括处方者数量,处方者访问量和药房访问量.
- 处方者被分为各种类型,包括全科医生和未分类的非专家.
主要成果:
- 在2013年至2023年期间,每年65岁以上的人均PBS发放量从34个下降到31个.
- 处方药处方的中位数从6个下降到5个.
- 对于PBS处方的GP访问显著下降,而访问未分类的非专家提供者则增加.
结论:
- 澳大利亚老年人处方药的使用量有所下降,从全科医生处方药转向非专业医疗机构的处方药.
- 医疗保健提供和劳动力格局的变化很可能影响了这些医疗保健的发展趋势.
- 建议进行进一步的研究,以评估这些转变对医疗保健支出的经济影响.
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