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多药学及其在日本的空间集群:对标准化多药学比率的生态研究
Shohei Ono1,2, Yusuke Iizuka1, Shinshu Katayama1,3
1Anesthesiology and Critical Care Medicine, Jichi Medical University Saitama Medical Center, Saitama, JPN.
Cureus
|September 30, 2025
概括
多药学,多种药物的使用,在日本的空间上聚集在一起,特别是在城市地区. 更高的比率与人口密度,年轻人以及社会经济因素有关,需要有针对性的干预措施.
科学领域:
- 公共卫生 公共卫生
- 空间流行病学 空间流行病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 多药性,即同时使用多种药物,存在风险,特别是在老年人群中.
- 关于多药房的空间分布和人口/社会经济联系的研究有限.
- 了解空间模式对于政策评估和制定至关重要.
研究的目的:
- 为了检查整个日本的多药房的空间模式.
- 确定与更高的多药房率相关的区域特征.
- 为多药房管理提供当地和国家政策倡议的信息.
主要方法:
- 在日本335个地方卫生单位进行的生态研究.
- 来自国家卫生,人口和地理数据库的数据.
- 多药性定义为≥7种药物;标准化多药性比率 (SPR) 计算.
- 进行了空间自相关性 (摩兰的I) 和聚类分析.
主要成果:
- 对多药店处方的预测模型实现了R2=0.98.8.
- 对多药店处方和SPR.观察到显著的空间自相关性.
- 高SPR地区与较高的人口密度,年轻人 (20-60岁),教育,收入和三级工业相关.
结论:
- 日本的多药房显示出显著的空间聚类,集中在城市化地区.
- 人口和社会经济因素推动了这些地区更高的多药房率.
- 区域特定的干预措施对于有效的多药房管理至关重要.
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