在牛皮中"按需要"生物治疗的可接受性:来自多利益相关方混合方法研究的见解
David Gleeson1, Maneeha Naveed1, Lucy Moorhead2
1St John's Institute of Dermatology, Guy's and St Thomas' NHS Foundation Trust and King's College London, London, UK.
The British journal of dermatology
|February 17, 2024
概括
"根据需要"治疗牛皮的生物疗法对患者和临床医生来说都是可以接受的. 这一策略可能会降低医疗负担,提高患者对护理的责任感,因此需要进一步进行有效性研究.
科学领域:
- 皮肤病学和免疫学
- 医疗服务研究 医疗服务研究
- 患者为中心的护理
背景情况:
- 生物疗法改善了牛皮的结果,使许多患者的皮肤变得清晰.
- 持续无限期使用生物制剂会造成长期的药物和医疗保健成本.
- "按需要" (PRN) 生物治疗方法可能会减轻这些负担,但患者和临床医生的看法并未得到充分理解.
研究的目的:
- 探索患者和临床医生的观点,以"根据需要"接受牛皮的生物治疗.
- 确定在常规皮肤病护理中实施这种方法的潜在障碍和推动因素.
主要方法:
- 在全英范围内进行了与患者和临床医生进行的在线范围调查.
- 对患者和临床医生进行了定性焦点小组,调查结果为此提供了信息.
- 使用反射性主题分析来确定关键主题.
主要成果:
- 大多数患者 (67%) 和临床医生 (78%) 支持"根据需要"的生物治疗.
- 引用的关键优势包括减少医疗负担和增加患者所有权.
- 挑战包括药物物流,疾病爆发风险和免疫性.
结论:
- "根据需要"治疗牛皮的生物治疗被患者和临床医生都认为是可以接受的.
- 需要对临床和成本效益进行进一步的研究,才能实现这种方法的潜力.
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