预防药物不服药:一个干预措施框架,以支持早期参与治疗
Sarah Chapman1, Lisbeth Frostholm2,3, Trudie Chalder4
1Centre for Adherence Research and Education, Institute of Pharmaceutical Science, King's College London, London, United Kingdom.
Health psychology review
|August 5, 2024
概括
早期预防不服药是关键. 这种方法侧重于在初始处方和早期治疗阶段的干预措施,以改善患者的坚持和减少医疗负担.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 患者坚持性研究
- 预防医学 预防医学
背景情况:
- 药物不服药是一个重大问题,导致疾病,死亡和医疗保健成本增加.
- 许多患者在处方后不久就停止或不收集新的药物.
- 早期的不坚持预示着长期的问题,受习惯形成和与疾病有关的生活中断的影响.
研究的目的:
- 提出预防药物不服药的预防策略.
- 在患者药物治疗过程的早期确定干预机会.
- 探索人口层面,处方过程和以患者为中心的干预措施.
主要方法:
- 审查现有证据不遵守的流行率和决定因素.
- 将早期的不遵守模式映射到干预点.
- 概念化人口,处方和患者级干预措施.
主要成果:
- 早期干预是可行的,可以针对人口,处方和患者水平.
- 具体的干预措施和工具可以使预防性方法变得可操作.
- 治疗不坚持的预测因素可能在治疗开始前就已经存在.
结论:
- 建议采取积极的,预防性的治疗药物不服药的方法.
- 干预措施应集中在药物使用的早期阶段.
- 需要进一步的研究,以促进早期的药物治疗,并防止不服药.
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