经济,文化和社会不平等在潜在不合适的药物-一个奥地利的视角
Christian Schoergenhofer1, Thorsten Bischof2, Markus Zeitlinger2
1Department of Clinical Pharmacology, Medical University of Vienna, Währinger Gürtel 18-20, 1090, Vienna, Austria. Christian.schoergenhofer@meduniwien.ac.at.
Wiener klinische Wochenschrift
|October 20, 2025
概括
与较低社会经济地位相关的潜在不合适药物 (PIMs),特别是过度治疗,会影响患者的护理. 解决PIM需要提高健康素养,并为弱势群体提供有针对性的支持.
科学领域:
- 老年病的医生 老年病的医生
- 药物治疗 药物治疗
- 公共卫生 公共卫生
背景情况:
- 不适当的处方,包括潜在不适当的药物 (PIMs),是一个全球性的挑战,影响患者的治疗结果和医疗保健支出.
- 社会经济和社会文化因素显著影响药物适宜性,甚至在全民医疗保健系统内.
研究的目的:
- 研究潜在不合适药物 (PIM) 与社会经济/社会文化因素之间的关联.
- 提供奥地利对多药和PIM的观点,将它们与更广泛的健康结果和成本联系起来.
主要方法:
- 使用修改的老年人处方查工具 (STOPP) /对正确治疗 (START) 预警查工具框架来定义PIM.
- 分析了全国性的丹麦数据和有关PIM,多药和社会经济决定因素的奥地利/国际数据.
主要成果:
- 在3.1%的患者中发现了STOPP定义的PIM (潜在的过度治疗),并且与较低的收入,教育,有限的社会支持和独自生活有很强的相关性.
- 根据START定义的PIM (潜在的治疗不足) 影响了12.5%,但与这些社会经济因素没有显著的关联.
- 奥地利和国际数据证实社会经济地位是多药和PIM暴露的关键驱动因素.
结论:
- 社会经济和文化决定因素在药物适当性和最佳患者护理方面发挥着至关重要的作用.
- 解决PIM需要多方面的策略,包括增强健康素养,专业教育,多学科合作和减压措施.
- 针对弱势群体和实施有效措施可以提高药物治疗中的公平,安全和可持续性.
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