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Use of chronic medications among a large, commercially-insured US population.

机译:在美国大量商业保险人群中使用慢性药物。

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摘要

PURPOSE: To examine use of chronic therapies by females and males of all ages. METHODS: Participants were 1,295,948 members of a large US pharmacy benefit manager. The use of chronic medications by males and females during 1999 was examined overall and within 16 commonly-used chronic drug groups. Dependent variables were use of a drug group, number of drug groups used, number of prescriptions filled and sum of costs, both within each drug group and overall. Combination therapy was defined as using at least two of the 16 chronic therapy groups during 1999. RESULTS: Females were more likely than males to use chronic medications during the study year (36.5 vs. 22.4%, p < 0.001). Generally, the likelihood of using a chronic medication increased with age for both sexes. Commonly-used chronic medications accounted for 54 and 50% of prescriptions for females and males respectively, and for 53% of total drug costs for both sexes. There were few meaningful sex differences in the likelihood of using particular drug groups. Of those who took chronic drugs 14% used combination chronic therapy. CONCLUSIONS: This study provides demographic information regarding treatment of chronic conditions that can be used to aid policy decisions and to provide an impetus for future research.
机译:目的:研究所有年龄段的男性和女性使用慢性疗法的情况。方法:参与者是美国大型药房福利经理的1,295,948名成员。总体上和在16个常用的慢性药物组中对男性和女性在1999年使用慢性药物进行了检查。因变量是每个药物组内和总体上药物组的使用,所用药物组的数量,已开处方的数量和费用总和。定义为在1999年期间使用16种慢性治疗组中的至少两种进行联合治疗。结果:在本研究年度,女性比男性更可能使用慢性药物(36.5 vs. 22.4%,p <0.001)。通常,男女使用慢性药物的可能性都随着年龄的增长而增加。对于男性和女性,常用的慢性药物分别占处方药的54%和50%,对男女而言,占慢性药物总费用的53%。在使用特定药物组的可能性方面,几乎没有有意义的性别差异。在服用慢性药物的人群中,有14%的人使用联合慢性疗法。结论:本研究提供了关于慢性病治疗的人口统计学信息,可用于帮助决策和为未来的研究提供动力。

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