通过分裂共享护理模式来减少生活在不受控制的2型糖尿病和多药物的经济负担:多中心随机对照试验
Zheng Kang Lum1, Jia Yeong Tan2, Cynthia Sze Mun Wong3
1Department of Pharmacy and Pharmaceutical Sciences, Faculty of Science, MD1, Tahir Foundation Building, National University of Singapore, 12 Science Drive #06-03, Singapore, 117549, Singapore.
BMC health services research
|June 21, 2024
概括
一个涉及家庭医生和社区药剂师的分割共享护理模式在六个月内显著降低了2型糖尿病和多药制药失控患者的直接医疗费用.
科学领域:
- 药物经济学 药物经济学
- 糖尿病管理 糖尿病管理
- 专业间医疗保健 专业间医疗保健 专业间医疗保健
背景情况:
- 跨专业的协作护理模式,例如家庭医生和社区药剂师之间的分期共享护理,显示出降低糖尿病管理经济负担的潜力.
- 这项研究评估了分拆共享护理模式对2型糖尿病和多药患者的经济结果.
研究的目的:
- 评估一个分拆共享护理模式的经济结果,该模型涉及家庭医生和社区药剂师在管理2型糖尿病和多药物管理中的患者.
主要方法:
- 进行了一项多中心,并行臂,开放标签的随机对照试验.
- 在干预组 (与药剂师合作的护理) 和对照组 (常规护理) 之间比较了直接和间接的经济结果.
- 包括未控制的2型糖尿病患者 (HbA1c > 7.0%) 服用≥5种慢性药物;分析了直接的医疗成本和间接成本 (生产力损失).
主要成果:
- 175名患者完成了试验. 与对照组相比,干预组在6个月内显示出明显较低的直接医疗费用 (p < 0.001).
- 在两组中,药物成本是主要的成本驱动因素.
- 在各组之间没有观察到生产力损失或间接成本的显著变化.
结论:
- 实施与社区药剂师的分期共享访问可以降低患者管理不受控制的2型糖尿病和多药物的经济负担.
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