医学不坚持:从研究中产生的坚持的新观点,重点是撒哈拉以南非洲
1Service Systems Research Group, WMG, University of Warwick, Warwick CV4 7AL, UK.
Healthcare (Basel, Switzerland)
|April 26, 2024
概括
患者对药物的坚持是至关重要的,但往往很低. 这项研究探讨了多样化的患者环境,揭示了新的坚持障碍,并建议专注于按处方服用药物的个人机会.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 患者行为 患者行为
- 药物管理 药物管理
背景情况:
- 药物坚持对于治疗效果至关重要,但报告的坚持率通常低于50%.
- 目前的坚持研究主要使用定量方法,忽视了影响患者行为在不同环境中的上下文因素.
研究的目的:
- 探索患者对各种全球环境中的药物坚持的看法.
- 识别不遵守的新原因,并将其与现有框架进行比较.
- 提出一种新的坚持概念,重点关注个人,情境机会.
主要方法:
- 对英国,埃及,哈萨克斯坦和六个撒哈拉以南非洲国家的30个人进行了定性采访.
- 对药物坚持感知的采访数据进行了分析,并与公认的坚持检查清单进行了比较.
主要成果:
- 确定了新的和以前未经记录的药物不服药的原因.
- 发现导致不遵守的因素在发达国家和发展中国家都是一致的.
- 该研究强调了纯粹定量依从性评估的局限性.
结论:
- 坚持是一种复杂的行为,受个人环境和环境的影响.
- 需要一个范式的转变,以将坚持视为一系列的个人机会,专注于启用器和抑制器.
- 了解这些特定的机会点可以导致更有效的坚持干预措施.
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