探索患者对恢复成本共享影响的看法:定性分析
Sophia H N Tran1,2, Jane M Fletcher2,3, Breanna McSweeney4
1Department of Psychology, University of Waterloo, Waterloo, ON, Canada.
参与者在ACCESS试验中评价了药物共同支付消除的好处,发现其长期优势超过了恢复成本共享的挑战. 这种积极的经验鼓励未来的试验参与.
科学领域:
- 卫生经济学和结果研究研究.
- 以患者为中心的研究.
- 临床试验的设计
背景情况:
- ACCESS试验表明,消除药物共付可以改善药物坚持,但不能改善临床结果.
- 时间有限的共同付款消除通常受到参与者的欢迎.
- 在收取福利后恢复成本共享对参与者来说可能会带来挑战.
研究的目的:
- 探索参与者在ACCESS试验的共同支付消除福利结束后恢复药物成本共享的经验.
- 评估这种经验对参与未来临床试验的意愿的影响.
主要方法:
- 进行了半结构化访谈,与21名接受了共同支付消除干预的前ACCESS试验参与者进行了半结构化访谈.
- 分析了采访记录,使用重复的主题分析来确定与福利损失相关的关键主题.
主要成果:
- 四个主题出现了:对福利损失的情感反应,终止通知,有形损失和接受临时财政援助.
- 参与者表达了关于失去覆盖范围的负面情绪,以及对负担慢性疾病护理的担忧.
- 尽管对终止福利有负面的感觉,但大多数参与者都对这项研究持积极态度,并将再次参加未来的试验.
结论:
- 消除3年共同支付的有形和情感上的好处超过了恢复成本共享的负面影响.
- 参与者参与试验设计和积极的整体体验有助于未来参与的意愿.
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