证明开放标签安慰剂使用的普遍可接受性,以应对初级保健中的过度治疗:一种混合方法研究
E M Krockow1, T Emerson2, E Youssef3
1School of Psychology and Vision Sciences, University of Leicester, Leicester, UK. emk12@le.ac.uk.
BMC medicine
|September 19, 2023
概括
公共态度支持使用安慰剂来减少初级保健中的过度治疗,特别是开放式的不纯安慰剂,而不是不适当的抗生素. 这一新的战略显示出解决过度处方挑战的前景.
科学领域:
- 行为科学 行为科学
- 医疗保健服务研究 医疗服务研究
- 临床心理学 临床心理学
背景情况:
- 医疗保健中的过度治疗会导致不良影响和成本增加.
- 这项研究探讨了使用安慰剂来缓解初级保健中的过度治疗的可行性和公众接受度.
- 研究用安慰剂取代抗生素,抗抑郁药和止痛药的不适当处方.
研究的目的:
- 检查公众对使用不同类型的安慰剂作为不适当处方的替代品的态度.
- 评估安慰剂在各种临床环境中的可接受性,包括呼吸道感染,抑郁和疼痛.
- 为了确定是否存在公众对一种新的行为策略的支持,以打击医疗保健过度治疗.
主要方法:
- 一个多项研究,混合方法的设计,包括患者和公众咨询和重点小组.
- 两个预先注册的在线实验 (N=980和N=1177) 使用英国代表性样本.
- 针对不同临床场景的盲目/开放标签纯/不纯安慰剂,标准治疗和不治疗的研究态度.
主要成果:
- 发现一般公众支持使用安慰剂来打击抗生素过度处方,开放式不纯安慰剂是最可接受的.
- 对安慰剂使用的个人接受度低于一般支持,老年人,慢性病患者和健康焦虑者对安慰剂的接受度较低.
- 根据临床背景,安慰剂选择的可接受性因临床背景而异,与抑郁症或疼痛情景相比,呼吸道感染的接受性更高.
结论:
- 公众论表明,支持临床安慰剂使用作为减少初级保健中过度治疗的策略.
- 这项研究表明,公众对针对过度处方的新型行为干预措施有潜在的兴趣.
- 开放标签的不纯安慰剂显示了最高的一般可接受性,用于取代不适当的抗生素处方.
关键词:
止痛药是一种止痛药.抗生素 抗生素是一种抗生素.抗抑郁药是一种抗抑郁药.抗微生物耐药性 抗微生物耐药性抗微生物药物管理管理开放标签的安慰剂.过度开处方 过度开处方过度治疗 过度治疗取代剂是什么意思 取代剂是什么意思主要的护理是初级护理.更多相关视频
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