在医疗补助中心以患者为中心的医疗家庭计划中测量实践水平的抗生素利用率
William Golden1,2,3,4,5, Cheng Peng1,6,7,8, E J Shoptaw9
1University of Arkansas for Medical Sciences (UAMS), Little Rock, Arkansas.
Annals of family medicine
|September 22, 2025
概括
一个基于索赔的措施有效地跟踪了以患者为中心的医疗机构 (PCMH) 中的抗生素处方. 与国家和州基准相比,定期反显著减少了PCMH的抗生素使用.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 传染病流行病学 传染病流行病学
- 公共卫生政策 公共卫生政策
背景情况:
- 门诊过度使用抗生素是一个重大的公共卫生问题,需要有效的管理策略.
- 以患者为中心的医疗家庭 (PCMH) 计划为改善初级保健和患者结果提供了一个框架.
- 制定实践特定的利用措施对于有针对性的抗生素管理干预措施至关重要.
研究的目的:
- 开发和实施基于索赔的措施,以评估医疗补助PCMH计划中的抗生素利用率.
- 评估实践特定的抗生素处方率对管理工作的可行性和影响.
- 将PCMH抗生素处方数据与州和国家基准数据进行比较.
主要方法:
- 一项观察性研究分析了2019年至2021年期间PCMH小组的门诊抗生素支付索赔.
- 实践获得季度报告卡,详细说明与同行相比,他们的抗生素处方率 (每1000名患者每年支付索赔) 是多少.
- 来自阿肯色州医疗补助PCMH的处方数据与IQVIA全付费州和国家数据进行了基准测试.
主要成果:
- PCMH抗生素处方率从2019年的1,089下降到2021年的853.
- 这些比率高于2019年的州 (1,028到927) 和国家 (765到636) IQVIA数据,但到2021年,PCMH比率显示出更大的减少.
- 在PCMH实践中,处方率的范围从2019年到2021年大幅缩小,表明更一致的管理.
结论:
- 在实践层面,基于索赔的每1000名患者抗生素处方的测量是抗生素管理的可行方法.
- 通过报告卡进行定期反的实施与PCMH中的抗生素处方率降低有关.
- 该战略显示了改善门诊环境中的抗生素管理和减少抗菌素耐药性的潜力.
相关概念视频
Healthcare Associated Infections II: Preventive Measures
3.6K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
3.6K
Methods of Documentation VI: Case Management Model
861
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
861
Measurement of Bioavailability: Pharmacodynamic Methods
236
Pharmacodynamic methods provide insights into a drug's effects on physiological processes over time and play a crucial role in understanding bioavailability and therapeutic efficacy. These methods can be broadly classified into acute pharmacological and therapeutic response approaches, each with distinct mechanisms and applications.The acute pharmacological response method directly correlates a drug's physiological effects, such as ECG or pupil diameter changes, to its time course in the body.
236
Documentation in Long-Term and Home Healthcare Setting
1.4K
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
1.4K
Antibiotic Selection
59.4K
Overview
59.4K
Antimicrobial Effectiveness
908
The effectiveness of antimicrobial agents depends on various factors influencing their ability to eliminate microbial populations. Larger microbial populations require more time for complete eradication, emphasizing the importance of population size analysis when evaluating antimicrobial efficacy.Microbial resistance to antimicrobial agents varies significantly. Highly resilient microorganisms include endospores, gram-negative bacteria, and non-enveloped viruses, while prions are exceptionally...
908


