Disparities among the disadvantaged: variation in lipid management in the Ohio Medicaid program.
Disparities among the disadvantaged: variation in lipid management in the Ohio Medicaid program.
复制标题
弱势群体之间的差异：俄亥俄州医疗补助计划中脂质管理的差异。
DOI：
10.1016/j.ypmed.2005.11.016
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发表时间：
2006
期刊：
影响因子：
--
通讯作者：
Aron,DavidC
中科院分区：
文献类型：
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作者：
Litaker,David;Koroukian,Siran;Frolkis,JosephP;Aron,DavidC
在心血管疾病（CVD）的预防中存在差异，但其他非临床因素可能会影响治疗，进一步加剧了差异。METHODS使用俄亥俄州医疗补助数据从1992年至1999年，我们确定了一个样本的19,106个人与CVD相关的诊断或程序。对药房索赔的审查确定了降脂药物（包括他汀类药物、贝特类药物和胆汁螯合剂）的既往、新的和长期使用者。2010年TS 3934（20.6%）名医疗补助受益人既往使用过降脂药物，1598（10.5%）名患者提出了新的索赔，5532名既往或新的使用者中有2998名（54.2%）人提出了≥6次补充索赔。60岁以下的少数成年人最不可能是以前的使用者（0.80 [0.67，0.96]），新用户（0.75 [0.58，0.98]），或长期使用降脂药（0.65 [0.49，0.84]）。结论：加强少数民族青年接受和长期使用脂质的努力，降低剂可降低与CVD相关的随后发病率和死亡率的风险。
BACKGROUNDRacial disparities exist in cardiovascular disease (CVD) prevention, but other non-clinical factors may influence treatment, further exacerbating disparities.METHODSUsing Ohio Medicaid data from 1992 to 1999, we identified a sample of 19,106 individuals with CVD-related diagnoses or procedures. A review of pharmacy claims identified previous, new, and long-term users of lipid-lowering agents, including statins, fibrates, and bile sequestrants.RESULTS3934 (20.6%) Medicaid beneficiaries used lipid-lowering medications previously, 1598 (10.5%) filed new claims, and 2998 of 5532 (54.2%) previous or new users filed ≥6 claims for refills. Minority adults ≤60 years were least likely to have been previous users (0.80 [0.67, 0.96]), new users (0.75 [0.58, 0.98]), or to use lipid-lowering agents long-term (0.65 [0.49, 0.84]).CONCLUSIONSTargeted efforts to enhance younger minority adults' receipt and long-term use of lipid-lowering agents may reduce risks for subsequent morbidity and mortality related to CVD.