一项多中心调查,调查了多个药房使用的患病人处方专用药物的流行情况
Sarah Setoudeh1, Shannan Takhar2, Christian Rhudy3
1UC Davis Health; UCSF Health.
Journal of the American Pharmacists Association : JAPhA
|March 7, 2026
概括
大多数使用特种药物的患者使用多个药房,这种做法被称为多个药房使用 (MPU). 这种MPU的高患病率并没有对研究群体的药物坚持产生负面影响.
科学领域:
- 药房和治疗药物 药房和治疗药物
- 医疗保健服务研究 医疗服务研究
- 患者的治疗结果.
背景情况:
- 多个药房使用 (MPU) 是普遍存在的,影响约38%的美国患者.
- 在需要特殊药物治疗的患者中,MPU患病率存在有限的研究.
研究的目的:
- 确定在被处方特殊药物的患者中多药房使用 (MPU) 的流行率.
- 探索影响MPU的因素及其对药物坚持的影响.
主要方法:
- 进行了一项多中心,横截面的调查研究,其中401名患者使用专用药物治疗自身免疫性疾病,多发性硬化症或瘤学.
- 参与者完成了11个问题的调查,评估了MPU,使用原因以及自我报告的药物坚持.
主要成果:
- 观察到MPU的高患病率,81.5%的特殊药物使用者使用多家药房.
- 方便性,保险要求和成本是MPU的主要驱动因素.
- 在患者使用一个和多个药房之间,没有发现自我报告的药物坚持的显著差异.
结论:
- 与一般患者群体相比,使用特种药物的患者使用多个药房的患病率显著更高.
- 专用药物使用者的MPU与自我报告的依从性降低无关.
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