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执业护士和医生助理为医疗保险受益人处方精神病药物
Roderick S Hooker1, G Martin Reinhart2, Joycelyn M Yamzon3
115917 NE Union Rd, Unit 45, Ridgefield, WA.
Medical care
|January 29, 2026
概括
执业护士 (NP) 和医生助理 (PA) 越来越多地开处方精神健康药物,填补由于精神病医生短缺而导致的护理缺口. 他们的处方要求大幅上升,近年来超过了精神病医生的处方要求.
科学领域:
- 药学流行病学 药学流行病学
- 医疗保健服务研究 医疗服务研究
- 心理健康工作人员分析
背景情况:
- 与患者对心理健康服务的需求相比,精神病学家的严重短缺.
- 调查的医疗保险D部分声称了解药物处方班次.
- 检查了处方模式,以解决心理健康护理准入方面的差距.
研究的目的:
- 确定精神病医生和其他临床处方医生 (家庭医生,内科医生,PA,NP) 的处方模式和趋势.
- 将处方数据进行比较,以了解心理健康药物处方的不断变化的格局.
- 评估非精神病学家处方者在解决心理健康护理需求中的作用.
主要方法:
- 使用医疗保险D部分索赔 (2013-2022) 的观察性,回顾性队列研究.
- 精神病学家 (使用NPI) 与非精神病学家处方者的处方模式比较.
- 分析了处方者和药物索赔计数,以识别常见的处方药和趋势.
主要成果:
- 从2013年到2022年,NP和PA的处方索赔显示出强的上升趋势.
- 在2020年,NP处方要求超过了精神病医生;到2022年,它们超过了内科医生.
- 在2022年,家庭实践医生写的处方人数几乎是精神病医生的两倍.
结论:
- 国家医生的索赔从8.6%增加到24.8%,而精神病医生的索赔从24.4%减少到18.0%.
- 现在NP和PA构成了为医疗保险患者提供心理健康药物护理的工作人员的重要组成部分.
- 这些非医生提供者在减轻精神病学家短缺对患者获得护理的影响方面发挥着至关重要的作用.
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