Division of Pharmaceutical Outcomes and Policy, University of North Carolina Eshelman School of Pharmacy, Chapel Hill (Hughes, Annis, Thomas); Cecil G. Sheps Center for Health Services Research, University of North Carolina, Chapel Hill (Hughes); School of Psychology and Counseling, Fairleigh Dickinson University, Teaneck, New Jersey (McGrath).
Psychiatr Serv. 2024 May 1;75(5):477-480. doi: 10.1176/appi.ps.20230156. Epub 2023 Nov 29.
The authors sought to provide updated estimates of the proportion of psychotropic medications prescribed by different medical providers.
This pooled cross-sectional study used data from the Medical Expenditure Panel Survey (2016-2019). Nationally representative estimates of the percentages of all psychotropic medications prescribed by each provider type were calculated, and analyses stratified by medication type, insurance type, and age were conducted.
Data from 58,547 psychotropic prescriptions reported by 7,693 unique individuals were analyzed. More than 60% of psychotropic medications were prescribed by providers other than psychiatrists (33.5%) or psychologists (2.2%), such as general practitioners, nurse practitioners, and physician assistants. This distribution varied significantly by medication, insurance, and patient age.
Most psychotropic medication prescribing occurs in primary care; however, notable differences by medication, insurance, and age were observed, suggesting areas for future research.
作者旨在提供最新的不同医疗提供者开具精神药物的比例估计值。
本项汇总性横断面研究使用了医疗支出调查（2016-2019 年）的数据。计算了每种提供者类型开具的所有精神药物比例的全国代表性估计值，并按药物类型、保险类型和年龄进行了分析。
分析了由 7693 名个体报告的 58547 张精神药物处方的数据。超过 60%的精神药物由精神病医生（33.5%）或心理学家（2.2%）以外的提供者开具，例如全科医生、执业护士和医师助理。这种分布因药物、保险和患者年龄而有显著差异。
大多数精神药物处方开具发生在初级保健中；然而，观察到药物、保险和年龄方面存在显著差异，提示未来研究的领域。
