使用处方药的使用趋势来评估卫生系统的弹性,并为未来的应急准备提供信息
Mouna Dardouri1, Garth Wright1, Joseph J Saseen1,2
1Department of Clinical Pharmacy, University of Colorado Skaggs School of Pharmacy and Pharmaceutical Sciences, Aurora.
Journal of managed care & specialty pharmacy
|December 24, 2025
概括
在COVID-19期间,处方填充率最初下降,但零售药房使用率恢复,与医生管理的药物不同. 这突出了远程医疗的重要意义.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 监测处方药的使用率是评估卫生系统在紧急情况下的弹性关键.
- 分析药物填充轮班可以确定弱势群体的强项和弱点.
研究的目的:
- 评估卫生系统对COVID-19大流行病的反应.
- 通过使用处方使用趋势,为未来的公共卫生危机准备提供信息.
主要方法:
- 来自科罗拉多州所有付款人索赔数据库的月度处方填写的中断时间序列分析 (2019年1月至2021年12月).
- 评估了使用阿片类药物,精神药物,抗生素,抗病毒药物,心脏代谢药物和瘤药物的变化.
- 在零售药店 (包括零售药店) 之间进行区分 邮购) 和医生管理的药物.
主要成果:
- 整体处方填充量最初下降了 (每100名成年人减少3.3人).
- 零售药房填充量反弹,得到远程医疗和邮购的支持;医生管理的疗法下降.
- 阿片类药物和抗生素填充量减少,而精神药物使用量增加;心脏代谢和瘤药物使用量保持稳定.
结论:
- 远程医疗和邮购减轻了零售处方的干扰,但由医生管理的疗法揭示了访问漏洞.
- 政策制定者应该利用远程医疗,管理阿片类药物/抗生素处方,并解决人身护理准入方面的差距.
- 将处方监测整合到健康监测中,可以改善在危机期间的积极反应和公平获取.
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