...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Pediatrics: Official Publication of the American Academy of Pediatrics >Unfilled prescriptions in pediatric primary care
【24h】

Unfilled prescriptions in pediatric primary care

机译：儿科初级保健中未填写的处方

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

BACKGROUND AND OBJECTIVES: Filling a prescription is the important first step in medication adherence, but has not been studied in pediatric primary care. The objective of this study was to use claims data to determine the rate of unfilled prescriptions in pediatric primary care and examine factors associated with prescription filling. METHODS: This retrospective observational study of pediatric primary care patients compares prescription data from an electronic medical record with insurance claims data. Illinois Medicaid provided claims data for 4833 patients who received 16 953 prescriptions during visits at 2 primary care sites over 26 months. Prescriptions were compared with claims to determine filling within 1 day and 60 days. Clinical and demographic variables significant in univariate analysis were included in logistic regression models. RESULTS: Patients were 51% male; most (84%) spoke English and were African American (38.7%) or Hispanic (39.1%). Seventy-eight percent of all prescriptions were filled. Among filled prescriptions, 69% were filled within 1 day. African American, Hispanic, and male patients were significantly more likely to have filled prescriptions. Younger age was associated with filling within 1 day but not with filling within 60 days. Prescriptions for antibiotics, from one of the clinic sites, from sick/follow-up visits, and electronic prescriptions were significantly more likely to be filled. CONCLUSIONS: More than 20% of prescriptions in a pediatric primary care setting were never filled. The significant associations with clinical site, visit type, and electronic prescribing suggest system-level factors that affect prescription filling. Development of interventions to increase adherence should account for the factors that affect primary adherence.
机译：背景与目的：处方开药是药物依从性的重要第一步，但尚未在儿科初级保健中进行研究。这项研究的目的是使用索赔数据来确定儿科初级保健中未开处方的比率，并检查与开处方相关的因素。方法：这项对儿科初级保健患者的回顾性观察研究将电子病历中的处方数据与保险索赔数据进行了比较。伊利诺伊州医疗补助计划提供了4833例患者的索赔数据，这些患者在26个月内访问了2个初级护理场所时共接受了16 953张处方。将处方与声明进行比较，以确定1天和60天内的填充量。在逻辑回归模型中包括单因素分析中显着的临床和人口统计学变量。结果：患者为51％的男性;大多数（84％）会说英语，并且是非裔美国人（38.7％）或西班牙裔（39.1％）。满足所有处方的百分之七十八。在已填充的处方中，有69％的患者在1天内被填充。非裔美国人，西班牙裔和男性患者服用处方的可能性明显更高。年龄较小与1天之内的饱腹感有关，但与60天之内的饱腹感无关。来自诊所之一，患病/随访的抗生素处方和电子处方的可能性明显更高。结论：在儿科基层医疗机构中，从未开出超过20％的处方。与临床部位，就诊类型和电子处方的显着关联提示了影响处方填充的系统级因素。开发增加依从性的干预措施应说明影响主要依从性的因素。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号