定义药物的"治疗价值":一个范围审查
Camille E G Glaus1, Andrina Kloeti1, Kerstin N Vokinger2
1Academic Chair for Regulation in Law, Medicine, and Technology, Faculty of Law and Faculty of Medicine, University of Zurich, Zurich, Switzerland.
BMJ open
|December 18, 2023
概括
这次范围审查确定了定义药物的治疗价值的关键因素,包括患者的生活质量,公共卫生影响和经济成本. 需要进一步的研究,在所有医学领域建立基于证据的价值定义.
科学领域:
- 药物经济学和卫生技术评估
- 临床药理学 临床药理学
- 基于证据的医学基于证据的医学.
背景情况:
- 药品价格上和进入市场需要明确定义治疗价值.
- 了解治疗价值对于患者,医生和政策制定者做出明智决策至关重要.
研究的目的:
- 进行范围审查,确定定义药物的治疗价值的因素.
- 从患者,公共卫生和社会经济的角度来分类这些因素.
主要方法:
- 到2020年12月,在多个数据库中进行了全面的文献搜索.
- 数据的提取和分析是由两个独立的审稿人进行的.
- 包括专注于确定药物的治疗价值的决定因素的研究.
主要成果:
- 从1883个选的研究中选择了51个研究,其中大多数是在2014年之后发表的.
- 这些因素被分为患者 (生活质量,替代品,副作用),公共卫生 (流行率,终点) 和社会经济 (成本) 观点.
- 癌症疾病和罕见疾病是最常被研究的领域.
结论:
- 治疗价值存在多个决定因素,重点是癌症和罕见疾病.
- 需要基于证据的因素来定义所有治疗领域的治疗价值.
- 这将有助于在患者护理,临床实践和资源分配方面的决策.
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