COVID-19 パンデミック中に採用された代替医療の経路が,タイの第三次医療病院における非伝染性疾患の管理に与える影響
Jongkonnee Chongpornchai1, Tuangrat Phodha1, Thanawat Wongphan2,3
1Drug Information and Consumer Protection Center, Center of Excellence in Pharmacy Practice and Management Research, Faculty of Pharmacy, Thammasat University, Pathum Thani, Thailand.
Journal of pharmaceutical policy and practice
|September 2, 2025
まとめ
家庭薬局 (PAH) と延期ケア (DC) は高血圧および糖尿病患者の臨床結果に悪影響を及ぼさなかった. これらの代替医療の経路は,COVID-19のパンデミック期間およびその後の医療費を大幅に削減しました.
科学分野:
- 医療サービス研究
- 公衆衛生
- 非伝染病の管理
背景:
- COVID-19 パンデミックは高血圧 (HT) と糖尿病 (DM) を含む非伝染性疾患 (NCD) の管理に障害をもたらしました.
- 家庭用薬局 (PAH) と延期ケア (DC) のような代替ケアモデルは,患者のサービスを維持するために実施されました.
- PAHのアウトカムが研究されている一方で,DCが臨床的および経済的アウトカムに与える影響は評価する必要があります.
研究 の 目的:
- NCD患者の通常のケアと比較して,家庭薬局 (PAH) と延期ケア (DC) の臨床的および経済的結果を評価する.
- これらの経路を通常の医療慣行に統合する可能性を評価する.
主な方法:
- タイの第三次医療病院 (2021年7月〜2023年6月) のHTとDMの外科医のデータを分析した遡及的研究.
- 患者はPAH,DC,または通常のケアグループに分類されました.
- 臨床的結果 (血圧,血糖) と経済的結果 (病気の費用) は,リグレッション分析を用いて評価された.
主要な成果:
- シストリック血圧,ダイアストリック血圧,または空腹血糖の統計的に有意な差は観察されなかった.
- PAH 経路と DC 経路の両方で,病気のコスト (COI) が著しく減少しました.
- COIの減少は,経路によって,パンデミック期間中およびその後32.3%から96.1%の範囲であった.
結論:
- 家庭薬局 (PAH) と延期ケア (DC) は,NCD管理の臨床結果を損なわない効果的な代替手段です.
- これらの経路は医療費を大幅に削減し 経済的な利益をもたらします
- PAHとDCは定期的な使用に適応し,将来の健康上の緊急時に迅速に再活性化できます.
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