医疗保健消费者对激励相关处方的看法:范围审查
Muhammad Naveed Noor1,2, Haider Safdar Abbasi2, Nina van Der Mark3
1Department of Community Health Sciences, Institute for Global Public Health, University of Manitoba, Winnipeg, Manitoba, Canada.
医疗保健消费者对医生与制药公司之间的财务联系的认识有限. 患者从激励相关的处方中感知到不信任和不必要的处方等风险,敦促医生透明和监管.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 医学伦理 医学伦理
- 制药政策 制药政策
背景情况:
- 与激励相关的处方 (ILP) 涉及医生可能优先考虑药品销售目标而不是患者的福祉.
- 医疗保健消费者 (HCC) 往往对医生与制药公司的财务关系缺乏认识.
- 这种做法引发了伦理问题和医疗保健系统内的潜在危害.
研究的目的:
- 探索现有的关于医疗保健消费者对医生和制药公司之间财务关系的看法的研究.
- 了解医疗保健公司的意识,感知到的风险,以及有关制药公司对医生激励的建议.
主要方法:
- 根据Arksey和O'Malley的框架和PRISMA-ScR指南进行了范围审查.
- 搜索包括Scopus,Medline,EMBASE和谷歌学者在英语语言的定量和定性研究.
- 对13项资格研究的分析确定了与激励相关的关键主题.
主要成果:
- 医疗健康协会表明,他们对医生制药激励的理解有所变化.
- 感知到的风险包括对医生和医疗保健系统的信任下降,不必要的药物处方以及对医生的声誉损害.
- 确定的主要主题是对激励的理解,感知到的危险以及HCC的改进建议.
结论:
- 医生对与制药公司的财务关系的透明度对于建立患者对医疗保健系统的信任和信心至关重要.
- 强有力的监管控制和医生自我调节是建议的,以减轻与ILP相关的风险.
- 解决HCC的担忧可以增强以患者为中心的护理和对医疗保健的整体信任.
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