医疗保险提供者之间的二胺处方模式,2017年至2023年
Olivia Silvernail1, Alexis D Ritvo2, Bernard Silvernail1
1Alliance for Benzodiazepine Best Practices, Portland, OR, United States.
Frontiers in medicine
|March 9, 2026
概括
从2017年到2023年,医疗保险D部分的老年人处方二增长了80%以上,尽管存在已知的风险,但超过了推的持续时间. 处方模式因州和专业而异,精神病学家的增长率最高.
科学领域:
- 老年人药理学 老年人药理学
- 公共卫生规定模式 公共卫生规定模式
- 老年人的药物安全性
背景情况:
- 类药物 (BZD) 经常被处方给老年人,但会带来重大风险,包括跌倒,认知障碍和依赖.
- 诸如Beers标准之类的指导方针建议65岁及以上的个人谨慎使用BZD,并限制使用时间.
- 了解目前的处方趋势对于评估遵守指南和确定干预领域至关重要.
研究的目的:
- 评估 65 岁及以上的医疗保险D 部分接受者遵守酒标准的青 (BZD) 处方.
- 为了确定老年人BZD处方的持续时间 (>30天) 是否因处方者的专业和地理位置而有显著差异.
- 分析2017年至2023年医疗保险D部分人口中BZD处方模式的趋势.
主要方法:
- 从2017年到2023年对医疗保险D部分处方者公共使用和摘要文件的分析.
- 根据提供者和药物类型汇总药物事件信息,以确定最常被处方的BZD和专业.
- 根据各州的药物使用率计算和分析不同类型和地区的处方时间 (>30天).
主要成果:
- 医疗保险D部分BZD处方从2017-2023年增加了80%以上 (1.7至310万),与全国性的下降形成鲜明对比.
- 阿尔普拉佐拉姆,洛拉泽帕姆和克罗纳泽帕姆是最常被处方的BZD,占处方的88%.
- 精神病学是处方专业的顶部,显示BZD处方率的最大增加;美国东南部的利用率最高. 处方经常超过30天,平均每位受益人108天.
结论:
- 尽管有警告,但对年长的医疗保险D部分接受者处方二甲的数量正在增加,其持续时间往往超过了指导方针建议.
- 在美国不同州和处方专业中,处方时间存在显著差异,这表明需要有针对性的干预措施.
- 目前在医疗保险D部分的老年人中对BZD的处方做法并不总是与已建立的老年人安全指南保持一致.
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