种族,民族和语言的差异在住院病人出院处方酒精使用障碍在一个学术医疗中心
Daniel Liauw1,2, Susan Regan3,4, Suzanne Brodney3,4
1Division of General Internal Medicine, Massachusetts General Hospital, Boston, MA, USA. dliauw@bwh.harvard.edu.
Journal of general internal medicine
|January 28, 2026
概括
医院成服务增加了针对酒精使用障碍 (MAUD) 的药物处方,为西班牙裔,黑人和非英语患者开处方. 这表明,结构化的护理可以减少酒精使用障碍治疗中的差异.
科学领域:
- 医学研究 医学研究
- 公共卫生 公共卫生
- 药理学 药理学是指药理学的学科.
背景情况:
- 酒精使用障碍 (AUD) 结果存在差异,基于患者人口统计学.
- 治疗酒精使用障碍 (MAUD) 的药物可以改善AUD的结果,并获得FDA批准.
- 入院提供了处方MAUD的机会.
研究的目的:
- 为了确定MAUD在出院时处方的种族,种族和语言差异.
- 分析AUD治疗药物获取方面的差异.
主要方法:
- 成年人住院治疗酒精戒断综合征的回顾性队列研究 (2016-2024年).
- 检查了FDA批准的MAUD (纳尔特雷,阿坎普罗沙特,迪苏尔菲拉姆) 的出院处方.
- 使用通用线性模型来识别与MAUD处方相关的因素.
主要成果:
- 35%的住院患者在出院时被处方MAUD.
- 西班牙裔和非西班牙裔黑人患者接受MAUD处方的比例更高.
- 非英语语言的偏好与MAUD处方的增加有关.
结论:
- 结构化的医院成服务可以减少AUD治疗的差异.
- 这些服务可以改善少数群体患者平等获得MAUD的机会.
- 医院干预对于缓解AUD结果差异至关重要.
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