犹他州医疗补助计划受益人群的门诊抗生素处方:一个为期四年的基于人口的分析
Tariq Mosleh1, Angela Weil1, Devin Beard1
1Healthcare-Associated Infections/Antimicrobial Resistance (HAI/AR) Program, Utah Department of Health and Human Services.
American journal of infection control
|March 14, 2026
概括
犹他州Medicaid的抗生素处方从2019-2023年大幅下降,但仍然高于全国率. 针对儿科患者群体和处方量高的地区,需要有针对性的管理,以减少抗菌素耐药性.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 医疗保健服务研究 医疗服务研究
背景情况:
- 不适当使用抗生素会导致抗菌素耐药性 (AMR) 和不良事件.
- 犹他州的整体抗生素处方低于美国平均水平,但医疗补助计划的趋势尚不清楚.
研究的目的:
- 分析从2019年1月到2023年7月的犹他州医疗补助受益人群的门诊抗生素处方趋势.
- 将犹他州医疗补助处方率与全州和全国平均水平进行比较.
主要方法:
- 犹他州医疗补助局门诊药房索赔的回顾性分析.
- 每1000名注册者的处方费率的计算.
- 人口统计,提供者类型,年龄分布和抗生素类别的总结.
主要成果:
- 从2019年到2023年,抗生素索赔减少了55%,但这一比例仍然高于犹他州和美国的比较者.
- 儿科和年轻成年人群体的处方率最高.
- 青素,头素,硫胺和四环素是最常被处方的类别.
结论:
- 犹他州医疗补助受益人群的门诊抗生素处方大幅下降,但仍然很高.
- 建议针对儿科患者群体和处方量较高的地区采取有针对性的管理措施.
- 在医疗补助计划中减少不必要的抗生素使用对于打击AMR至关重要.
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