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首页> 外文期刊>Scandinavian journal of primary health care. >Primary adherence to antidepressant prescriptions in primary health care: a population-based study in Sweden
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Primary adherence to antidepressant prescriptions in primary health care: a population-based study in Sweden

机译：初级保健中对抗抑郁药处方的主要依从性：瑞典一项基于人群的研究

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Background Medical adherence is important in the treatment of depression. Primary medical adherence, i.e. patients collecting their newly prescribed medications from pharmacies, is very different depending on the drug prescribed Objective To assess the rate of primary medical adherence in patients prescribed antidepressants and to identify characteristics that make patients less likely to pick up prescriptions. Methods An observational study was performed using primary health care data from Sweden on patients who were prescribed antidepressants. Univariate and multivariate logistic regression was used to determine differences in pick-up rate according to patient characteristics. Main outcome Pick-up rate, defined as collection of a prescription within 30 days. Results A total of 11 624 patients received an antidepressant prescription during the study period, and the overall pick-up rate was 85.1%. The pick-up rate differed according to country of birth: individuals born in the Middle East and other countries outside Europe had lower primary medical adherence than Swedes, with adjusted odds ratios (ORs) of 0.58 and 0.67, respectively. Patients at ages 64-79 years had a higher pick-up rate compared with those aged 25-44 years (OR 1.71). Divorced patients had a lower rate compared with married patients (OR 0.80). Conclusion Immigrants from the Middle East and other countries outside Europe and younger and divorced patients had lower primary medical adherence, which calls for clinical attention and preventive measures.
机译：背景技术医学依从性在抑郁症的治疗中很重要。主要医疗依从性，即从药房收集新开处方药物的患者，根据所开处方的药物有很大差异。目的评估开具抗抑郁药的患者的主要医疗依从率，并确定使患者不太愿意接受处方的特征。方法使用瑞典的主要卫生保健数据对开具抗抑郁药的患者进行观察性研究。根据患者特征，使用单因素和多因素logistic回归确定接诊率的差异。主要结果回收率，定义为在30天内收集处方。结果研究期间共有11 624例患者接受了抗抑郁药处方，总回升率为85.1％。接生率因出生国家而异：在中东和欧洲以外其他国家出生的人的基本医疗依从性低于瑞典人，调整后的优势比（OR）分别为0.58和0.67。与25-44岁的患者相比，年龄在64-79岁的患者的接诊率更高（OR 1.71）。与已婚患者相比，离婚患者的患病率较低（OR 0.80）。结论来自中东和欧洲以外其他国家的移民以及年轻和离婚的患者的基本医疗依从性较低，这需要临床注意和预防措施。

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