创新治疗制度政策的必要性:现有方法和关键要素
Emily Rao1, Christine Grady2, David Wendler2
1Department of Psychiatry, Keck School of Medicine, USC, Los Angeles, CA.
Critical care medicine
|November 11, 2024
概括
大多数美国领先的医疗中心缺乏创新治疗的政策. 现有的政策往往不要求患者报告结果或协调治疗与研究,突出需要改进的指南.
科学领域:
- 医学伦理 医学伦理
- 卫生政策 卫生政策
- 临床创新 临床创新
背景情况:
- 创新疗法越来越多地在医疗学科中得到利用.
- 治理创新治疗的制度政策的存在和全面性仍然不清楚.
研究的目的:
- 调查美国领先的医疗中心是否制定了创新治疗的政策.
- 确定现有政策中的要求,并评估潜在的缺陷.
主要方法:
- 在美国领先的医疗中心对有关创新治疗政策的告知者的调查.
- 审查现有政策和相关公布的建议.
主要成果:
- 79%的受访中心 (46/58) 缺乏专门的创新治疗政策.
- 在审查的政策中,50%的政策遗漏了患者结果报告要求.
- 50%的政策没有明确地将创新疗法与研究协议相结合.
结论:
- 在美国主要医疗中心的创新治疗的正式政策中存在一个显著的差距.
- 现有的政策往往缺乏关键要素,特别是患者结果跟踪和研究协调.
- 提出了八个关键政策要素,以加强患者保护并确保创新治疗的适当实施.
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