促进印度慢性疾病药物坚持的干预措施:系统性审查
Abraham Tolley1, Refaat Hassan1, Rohan Sanghera1
1University of Cambridge, Cambridge, United Kingdom.
Frontiers in public health
|July 3, 2023
概括
在印度,改善非传染性疾病 (NCD) 的药物服药能力至关重要. 社区卫生工作者和药剂师的患者教育,特别是随访,显示出更好的坚持策略的希望.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 制药科学 制药科学
背景情况:
- 非传染性疾病 (NCD) 在印度是一个重大的健康挑战.
- 需要有效和经济高效的干预措施来改善NCD患者的药物坚持.
- 关于在低收入和中等收入国家提高执法效率的战略的有效性存在有限的分析.
研究的目的:
- 对旨在改善印度慢性疾病药物服药的干预措施进行首次系统审查.
- 评估不同类型的干预措施对药物服药的有效性.
- 在印度医疗保健背景下,确定增强药物遵守的有希望的策略.
主要方法:
- 系统地搜索主要的科学数据库 (MEDLINE,科学网,Scopus,谷歌学者).
- 包括在印度进行的随机对照试验 (RCT) 涉及NCD患者和坚持结果,遵守PRISMA指南.
- 对研究的干预类型 (以教育为基础,以技术为基础,结合) 和常见的非传染性疾病的分析.
主要成果:
- 22个RCT从1,552个独特的文章中满足了纳入标准.
- 基于教育的干预措施 (n=12) 是最常见的,其次是联合教育和后续 (n=4) 和基于技术的干预措施 (n=2).
- 通常研究的非传染性疾病包括心血管疾病 (n=8),2型糖尿病 (n=6) 和呼吸道疾病 (n=3).
结论:
- 由社区卫生工作者 (CHW) 和药剂师提供的患者教育显示出改善药物服药的承诺.
- 除了教育干预措施之外,定期的后续检查还可以带来进一步的好处.
- 需要高质量的RCT来系统地评估这些干预措施,以便将其纳入更广泛的卫生政策.
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