确定和介绍与药物服药相关的关键国家特定指标:欧洲各国的综合研究
Tamás Ágh1, Kristina Garuolienė2, Anne Gerd Granas3,4
1Syreon Research Institute, Budapest, Hungary.
Frontiers in pharmacology
|October 21, 2024
概括
这项研究确定了26个关键指标,与欧洲和以色列的药物坚持 (IRMA) 相关. 了解这些因素对于制定有针对性的策略来改善患者遵守和健康结果至关重要.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 制药政策 制药政策
- 公共卫生 公共卫生
背景情况:
- 在全球范围内,药物不服药在医疗保健系统中构成了重大挑战.
- 对于有效的干预措施来说,了解影响遵守的特定国家因素至关重要.
研究的目的:
- 在39个欧洲国家和以色列中识别和分类与药物坚持相关的指标 (IRMA).
- 评估有关这些IRMA的国家特定数据的可用性.
- 为制定有针对性的,国家特定的干预措施提供信息,以改善药物坚持.
主要方法:
- 一种两阶段的方法,包括在欧洲推进最佳实践和技术的欧洲网络 (ENABLE) 内的结构化专家调查.
- 第一个阶段:两轮专家调查,以确定关键的IRMA.
- 第二阶段:通过文献审查和额外的专家调查,收集IRMA的数据.
主要成果:
- 确定了26个排名最高的IRMA,分为国家特征 (6),社会/经济因素 (4),治疗相关因素 (3),患者相关因素 (3),疾病相关因素 (1) 和医疗保健系统相关因素 (9).
- 对这些IRMA的特定国家数据的可用性在参与国家之间存在显著的差异.
- 由于影响因素的多方面的性质,预测药物坚持的复杂性已被证明.
结论:
- 该研究强调了影响欧洲国家和以色列药物坚持的因素的多样性和复杂性.
- 已确定的IRMA为开发定制的,基于证据的干预措施提供了基础,以提高药物坚持.
- 调查结果为决策者提供了有价值的见解,以制定有针对性的卫生政策,改善患者的治疗结果,并减少不遵守的经济负担.
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