急诊就诊后儿科处方领取率。
Pediatric prescription pick-up rates after ED visits.
作者信息
Kajioka Eric H, Itoman Erick M, Li M Lily, Taira Deborah A, Li Gaylyn G, Yamamoto Loren G
机构信息
Department of Pediatrics, John A. Burns School of Medicine, University of Hawaii, Honolulu, HI 96826, USA.
出版信息
Am J Emerg Med. 2005 Jul;23(4):454-8. doi: 10.1016/j.ajem.2004.10.015.
OBJECTIVE
To determine the compliance rate in filling outpatient medication prescriptions written upon discharge from the emergency department (ED).
METHODS
Emergency department records of children during a 3-month period were examined along with pharmacy claim data obtained in cooperation with the largest insurance carrier in the community (private and Medicaid). Pharmacy claim data were used to validate the prescription pick-up date.
RESULTS
Overall, 65% of high-urgency prescriptions were filled. The prescription pick-up rate in the 0-to 3-year age group (75%) was significantly higher than in the rest of the cohort (55%) ( P < .001). Children with private insurance were more likely to fill their prescriptions (68%) compared to children with Medicaid insurance (57%) ( P = .03).
CONCLUSION
This study demonstrates that filling a prescription after discharge from an ED represents a substantial barrier to medication compliance.
目的
确定急诊科（ED）出院时开具的门诊用药处方的配药依从率。
方法
检查了3个月期间儿童的急诊科记录，并结合与社区最大的保险公司（私人保险和医疗补助）合作获得的药房报销数据。药房报销数据用于验证处方取药日期。
结果
总体而言，65%的高紧急度处方得到配药。0至3岁年龄组的处方取药率（75%）显著高于其他年龄组（55%）（P <.001）。与参加医疗补助保险的儿童（57%）相比，参加私人保险的儿童更有可能配药（68%）（P =.03）。
结论
本研究表明，急诊科出院后配药是药物依从性的一个重大障碍。
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