Decrease in Statewide Antipsychotic Prescribing after Implementation of Child and Adolescent Psychiatry Consultation Services
Decrease in Statewide Antipsychotic Prescribing after Implementation of Child and Adolescent Psychiatry Consultation Services
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DOI：
10.1111/1475-6773.12539
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发表时间：
2017-04-01
影响因子：
3.4
通讯作者：
Hilt, Robert J.
中科院分区：
文献类型：
--
作者：
Barclay, Rebecca P.;Penfold, Robert B.;Hilt, Robert J.
ObjectiveLearn如果一个质量的医疗补助儿童精神病咨询服务，在三个不同的步骤中实施，与全州儿童抗精神病药物利用率的变化有关。数据来源/研究设置华盛顿州儿童精神病咨询项目的主要数据和医疗补助药房部门抗精神病药物利用率的次要数据，从2006年7月1日到12月31日，2013.研究设计观察性研究，其中咨询项目数据采用全州抗精神病药物使用的时间序列分析进行分析。提取方法将所有涉及抗精神病药物的咨询项目数据库信息与涉及抗精神病药物使用的Medicaid药房部门数据库信息进行比较。华盛顿州的儿童医疗补助抗精神病药物的总使用率从0.51%下降到0.25%。在开始选择性咨询后，每月使用率平均下降0.022/1000（p= 0.004），在开始年龄/剂量触发的强制性审查后，每月使用率平均下降0.065（p
ObjectiveTo learn if a quality of care Medicaid child psychiatric consultation service implemented in three different steps was linked to changes in statewide child antipsychotic utilization.Data Sources/Study SettingWashington State child psychiatry consultation program primary data and Medicaid pharmacy division antipsychotic utilization secondary data from July 1, 2006, through December 31, 2013.Study DesignObservational study in which consult program data were analyzed with a time series analysis of statewide antipsychotic utilization.Data Collection/Extraction MethodsAll consultation program database information involving antipsychotics was compared to Medicaid pharmacy division database information involving antipsychotic utilization.Principal FindingsWashington State's total child Medicaid antipsychotic utilization fell from 0.51 to 0.25 percent. The monthly prevalence of use fell by a mean of 0.022 per thousand per month following the initiation of elective consults (p=.004), by 0.065 following the initiation of age/dose triggered mandatory reviews (p