使用医疗保健D部分数据识别和分析高处方阿片类药物和抗生素
Amulya Marellapudi1, Raysha Farah1, Justin Halim2
1Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Antimicrobial stewardship & healthcare epidemiology : ASHE
|February 20, 2026
概括
一小群纽约临床医生不成比例地开处方抗生素和阿片类药物. 识别高处方模式可以帮助针对性干预,以获得更好的公共卫生结果.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 药理学 药理学是指药理学的学科.
背景情况:
- 过度的抗生素和阿片类药物处方是一个重大的公共卫生挑战.
- 了解处方者水平的模式对于开发有效的干预措施至关重要.
研究的目的:
- 评估纽约州初级保健提供者的阿片类药物和抗生素处方模式.
- 识别与高处方率相关的提供者和实践特征.
主要方法:
- 使用2023年医疗保险D部分数据进行横截面研究.
- 对对纽约州65岁以上的医疗保险受益者进行治疗的初级保健医生处方模式的分析.
- 多变量逻辑回归用于识别与高处方相关的因素.
主要成果:
- 3.3%的处方者是高抗生素处方者; 2.8%是高阿片类处方者.
- 高抗生素处方与执业护士 (NP),医生助理 (PA),实践时间较长,受益人风险得分较高有关.
- 高水平的阿片类药物处方与老年病,国家医生,男性性别,实践时间更长,双重资格受益人的比例更高有关.
结论:
- 一小部分临床医生占纽约州抗生素和阿片类药物处方的很大比例.
- 识别高处方者的特征可以指导有针对性的管理策略.
- 这项研究为潜在的干预措施提供信息,以制过度处方.
更多相关视频
10:17High-throughput and Comprehensive Drug Surveillance Using Multisegment Injection-Capillary Electrophoresis-Mass Spectrometry
Published on: April 23, 2019
10.5K
10:13Author Spotlight: An Efficient Methodology to Confidently Differentiate and Characterize Fentanyl Analogs
Published on: November 8, 2024
3.0K
相关概念视频
Drug Classes and Categories
3.5K
Drugs can be classified according to their chemical composition or their intended therapeutic application. For instance, anti-infective agents that possess the ability to eliminate pathogens or suppress their growth and reproduction can be grouped based on the organisms they target or their chemical structure. Furthermore, drugs can be divided into prescription, nonprescription, or controlled substances. Prescription medications, such as antibiotics, require oversight from a licensed healthcare...
3.5K
Prescription, Nonprescription and Orphan Drugs
1.4K
Prescription drugs require a prescription from a medical practitioner and can only be obtained from a pharmacy. They have many applications, including treating pain, anxiety, and hypertension.
The misuse and addiction to prescription drugs is a growing problem that can affect people of all age groups, specifically teenagers. This can happen when prescription medications are used in ways not intended by the prescriber, such as taking someone else's prescription or using medication for...
The misuse and addiction to prescription drugs is a growing problem that can affect people of all age groups, specifically teenagers. This can happen when prescription medications are used in ways not intended by the prescriber, such as taking someone else's prescription or using medication for...
1.4K
Analgesia and Pain Management
3.1K
Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
3.1K
Opioid Analgesics: Morphine and Other Natural Cogeners
1.6K
Opioids are a class of drugs that mimic endogenous opioid peptides and act on opioid receptors, and help in pain relief. These compounds are classified as natural, synthetic, or semi-synthetic. Natural opioids, like morphine, codeine, and thebaine, are derived from the opium poppy plant (Papaver somniferum or Papaver album) and are termed opiates. Synthetic opioids are artificial, while semi-synthetic opioids combine natural and synthetic compounds. Morphine, a prototypical opioid, possesses a...
1.6K
Opioid Analgesics: Synthetic and Semisynthetic Opioids
1.5K
Synthetic and semisynthetic opioids are pivotal in pain management and tackling opioid addiction. Semisynthetic opioids, including morphinans (morphine derivatives), oxycodone, oxymorphone, hydrocodone, and hydromorphone, have improved pharmacokinetic profiles compared to morphine. Additionally, heroin and 6-MAM (6-Monoacetylmorphine) show better CNS penetration than morphine due to heightened lipid solubility. Hydromorphone, a potent opioid, undergoes hepatic metabolism to form the active...
1.5K
Drug Dosing: Obese Patients
346
In the United States, obesity is a prominent concern. It is linked to heightened mortality rates due to increased occurrences of conditions such as hypertension, atherosclerosis, coronary artery disease, and diabetes compared to nonobese individuals. A patient is classified as obese if their actual body weight surpasses the ideal or desirable body weight by 20%, based on Metropolitan Life Insurance Company data. Ideal body weights consider average weights and heights for males and females...
346
