医疗服务提供者遵守他汀类药物治疗处方指南的情况。

IF 0.2 Q4 NURSING
Sarah Cornwell, Kim Curry
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引用次数: 0

摘要

背景:动脉粥样硬化性心血管疾病(ASCVD)是导致美国全国发病率、死亡率和医疗费用的主要因素。超过 9200 万成年人至少患有一种 ASCVD,预计在未来 15 年内,每年的治疗费用将超过一万亿美元:本研究的目的是对照美国心脏病学会/美国心脏协会(ACC/AHA)关于他汀类药物治疗降低 ASCVD 风险的建议,评估成人群体的药物治疗情况:方法:利用数据库查询对接受一组医院门诊治疗的成年人进行了研究。比较了多县地区的 ASCVD 发生率,并评估了医疗服务提供者对现行指南的遵守情况:结果:农村地区的 ASCVD 患病率较高。ACC/AHA他汀类药物各受益组患者的他汀类药物处方率从66.2%到74.8%不等:结论及对执业护士的启示:各县对指南的遵从程度不尽相同,且未达到最佳遵从程度。在每个组别中,无论风险如何,医生给男性开他汀类药物的可能性都高于女性。这些发现可以帮助执业护士和其他医疗服务提供者解决不遵守指南的问题。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Provider Adherence to Prescribing Guidelines for Statin Therapy.

Background: Atherosclerotic cardiovascular disease (ASCVD) is a major contributor to nationwide morbidity, mortality, and healthcare costs in the United States. Over 92 million adults have at least one form of ASCVD, and annual costs for treatment are anticipated to surpass one trillion dollars within the next 15 years.

Objective: The objective of this study was to evaluate the medication therapy of a population of adults in comparison to the American College of Cardiology/American Heart Association (ACC/AHA) recommendations for statin therapy for ASCVD risk reduction.

Methods: The adult population receiving care from a group of hospital outpatient clinics was examined using a database query. Rates of ASCVD in a multicounty area were compared and provider adherence to current guidelines was assessed.

Results: Rural counties showed higher rates of ASCVD. Rates of statin medication prescribing for patients of each ACC/AHA statin benefit group ranged from 66.2% to 74.8%.

Conclusions and implications for nurse practitioners: Adherence to guidelines varied among counties and optimal adherence was not achieved. Providers were also more likely to prescribe statin medications to men than women within each group regardless of risk. These findings can assist nurse practitioners and other providers in addressing areas of nonadherence to guidelines.

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CiteScore
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