日本未填写的处方:十年的回顾分析
Yuki Kataoka1,2,3,4,5,6, Yudai Tamada6, Takahiro Tabuchi7
1Center for Postgraduate Clinical Training and Career Development, Nagoya University Hospital, Nagoya, Japan.
Pharmacoepidemiology and drug safety
|January 16, 2026
概括
日本的初级药物不服药率 (PMN) 在十年内保持稳定,约为5%. 这项研究强调了医疗保险公司需要开发系统,以提醒提供者关于未填写处方的必要性.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 制药政策 制药政策
- 公共卫生 公共卫生
背景情况:
- 日本的全民医疗覆盖旨在确保药物获取.
- 了解药物不坚持模式对于优化治疗结果至关重要.
- 主要药物不服药 (PMN),定义为未能填写新处方,影响医疗保健系统的效率.
研究的目的:
- 描述日本初级药物不服药 (PMN) 的时间趋势.
- 在全民医疗保健系统中,分析十年 (2014-2023) 的PMN模式.
- 为了识别不同患者人口统计和疾病状态的PMN变异.
主要方法:
- 使用DeSC医疗保健数据库进行回顾性队列研究.
- 从2014年4月到2023年9月,对日本医疗声明和药房发行记录的分析.
- 定义PMN是指没有发行记录的处方后发行.
主要成果:
- 分析了近200万患者的超过260万份医疗索赔.
- 总的PMN比例为4.9%,从2014年的5.6%下降到2023年的4.3%.
- 疾病特定的PMN有所不同,从高血压的4.0%到脊髓疾病的7.0%.
结论:
- 在日本,在整个研究期间,初级药物不服药率 (PMN) 始终保持在5%左右.
- 建议医疗保险公司实施未填写处方的通知系统,以提醒医疗保健提供者.
- 建议未来的研究应该调查电子处方系统对PMN率的影响.
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