使用三个月的帕利佩里棕酸盐配方的障碍:来自意大利现实世界的研究
Giovanna Cirnigliaro1,2, Vera Battini3, Rita Cafaro1,2
1Department of Biomedical and Clinical Sciences "Luigi Sacco", University of Milan, Milan, Italy.
Expert review of neurotherapeutics
|September 26, 2023
概括
每三个月服用帕利皮里棕酸盐 (PP3M) 会降低精神病患者的医疗资源利用率. 虽然PP3M的医疗资源利用率与每月服用帕利皮里棕酸盐 (PP1M) 的医疗资源利用率相似,但医生表示,由于没有切换,患者的稳定性问题.
科学领域:
- 精神病学是一个精神病学.
- 药理学 药理学是指药理学的学科.
- 卫生经济学 卫生经济学
背景情况:
- 长效注射型帕利皮里配方改善了精神病患者的坚持并减少了精神病复发.
- 医疗保健资源利用率 (HRU) 是管理慢性精神疾病的关键结果指标.
研究的目的:
- 为了比较每三个月的帕利佩里棕酸盐 (PP3M) 与每一个月的帕利佩里棕酸盐 (PP1M) 的疗效和HRU.
- 在现实世界临床实践中识别PP3M采用的障碍.
主要方法:
- 这是一项三阶段的观察性研究,涉及119名精神病患者.
- 阶段1:12个月的镜像设计,以评估PP3M启动后的HRU变化.
- 第二阶段:在PP3M启动之前,PP1M和PP3M组之间的HRU的比较.
- 第3阶段:医生调查不转换PP3M的原因.
主要成果:
- 启动PP3M与门诊访问的显著减少有关.
- 在PP3M和PP1M组之间没有观察到HRU的显著差异.
- 医生不转向PP3M的主要原因包括患者的感知不稳定 (32.8%) 和需要每月监测 (19.7%).
结论:
- 启动PP3M与整体HRU的减少有关.
- 转换为PP3M的患者表现出与未转换患者相似的HRU,这表明了可比的临床形状.
- 对PP3M实施的障碍与医生对患者稳定性和监测需求的看法有关.
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