处方专业参与医疗保险慢性乙型肝炎患者的治疗
Xiaohan Ying1, Nicole Ng1, Deirdre Reidy1
1Department of Medicine, Weill Cornell Medicine, New York City, New York, USA.
Journal of viral hepatitis
|September 9, 2025
概括
慢性乙型肝炎 (CHB) 的处方模式发生了变化,更多的胃肠科医生和高级实践提供者 (APP) 管理护理. 这一趋势对于确保在劳动力短缺的情况下持续获得CHB治疗至关重要.
科学领域:
- 肝病学和胃肠病学 肝病学和胃肠学
- 医疗保健服务研究 医疗服务研究
- 公共卫生 公共卫生
背景情况:
- 慢性乙型肝炎 (CHB) 在美国对肝病发病率和死亡率作出了重大贡献.
- 慢性肝炎患者需要持续的抗病毒疗法和随访,但仍面临进入障碍.
- 了解处方者趋势对于优化CHB患者护理提供至关重要.
研究的目的:
- 分析医疗保健提供者管理医疗保险患者的专业和地理趋势.
- 确定2013年至2021年期间CHB疗法处方模式的变化.
主要方法:
- 使用医疗保险D部分数据库和农村-城市连续体代码.
- 从2013年到2021年,研究了超过240万份30天的CHB治疗处方.
- 分析了处方者专业 (胃肠病学,高级实践提供者,传染病,初级保健) 和地理位置 (大都会和非大都会县).
主要成果:
- 总的CHB处方每年增加5.4%,大都会地区为85%.
- 胃肠道学 (GI) 和高级实践提供者 (APP) 的处方显著增长 (分别为每年12.5%和12.2%).
- 传染病 (ID) 处方每年下降14.0%; APP和初级保健提供者 (PCP) 在非大都市地区出现下降.
结论:
- 发生了显著的转变,胃肠病学家和APP在处方CHB药物的参与度增加.
- 鉴于医生短缺,APP管理的增加是有益的,但需要仔细整合.
- 需要共同管理等策略,以确保一致的CHB护理,并解决潜在的劳动力不平衡.
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