在24个国家对固定剂量组合抗高血压药物处方进行了跨部门调查,包括定性见解
Edel O'Hagan1, Daniel McIntyre1, Tu Nguyen2,3
1Westmead Applied Research Centre, The University of Sydney, Entrance K, Level 5, Westmead Hospital, Hawkesbury Road, Westmead, NSW, 2145, Australia.
Global heart
|September 16, 2024
概括
固定剂量组合 (FDC) 抗高血压药改善了坚持,但在全球面临成本和获取障碍. 解决这些问题对于全球有效的血压控制至关重要.
科学领域:
- 心脏病学 心脏病学
- 药理学 药理学是指药理学的学科.
- 公共卫生 公共卫生
背景情况:
- 治疗惯性,不坚持和不坚持会对全球血压控制产生负面影响.
- 固定剂量组合 (FDC) 抗高血压药物提供了一种简化处方和提高患者坚持治疗的策略.
研究的目的:
- 确定影响FDC抗高血压药物处方的因素.
- 为了确定这些影响因素是否在国际医生之间存在差异.
主要方法:
- 从2023年6月到2024年1月,在全球范围内进行了一项跨部门在线调查.
- 招聘利用了国际网络和雪球,有191名医生参与.
- 该调查评估了FDC处方的障碍和促进因素,使用5分利克特级别.
主要成果:
- 费用 (51%) 和医生对血压测量的信心 (40%) 是FDC处方的主要障碍.
- 促进者包括临床医生的教育支持 (79%),获取BP数据 (67%) 和健康记录推动 (61%).
- 障碍物和促进因素在高收入和低收入国家表现出类似的趋势;非坚持患者 (82%) 和高药负担患者 (80%) 高度重视FDC.
结论:
- 成本和获取对FDC抗高血压药物处方构成重大全球障碍.
- 虽然临床医生教育是一个促进者,但如果不解决接入问题,它可能不足.
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