消费者参与初级保健中药物安全干预或服务的设计和开发:一个范围审查
Megan DelDot1,2, Esther Lau1,2, Nicole Rayner3
1School of Pharmacy, The University of Queensland, Brisbane, Queensland, Australia.
概括
消费者参与设计初级保健药物安全服务是常见的,但往往不完整. 需要在报告消费者参与方面提高透明度,以最大限度地提高效益并改善药物安全结果.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 患者参与 患者参与
- 药物安全 药物安全
背景情况:
- 与药物相关的问题在初级保健中构成重大负担.
- 消费者参与设计卫生干预措施可以提高可访问性,可接受性和可持续性.
- 本范围审查审查审查了消费者对初级保健药物安全干预措施的参与.
研究的目的:
- 检查消费者何时以及如何参与药物安全干预或服务的设计和开发.
- 确定用于消费者参与的共同方法和方法.
- 评估各个研究阶段消费者参与程度.
主要方法:
- 在2024年2月之前对五个关键数据库进行范围审查.
- 包括涉及成年消费者 (≥18岁),家庭或照顾者的研究.
- 专注于干预安全和有效的药物使用,仅限于初级保健.
- 调整一个关于消费者参与的数据提取框架.
主要成果:
- 包括15项研究 (24篇文章),使用诸如代码设计,联合制作和参与行动研究等方法.
- 常见的方法包括会议,采访和调查.
- 只有两项研究报告了所有研究阶段的消费者参与,但对消费者体验的描述有限.
- 消费者参与对干预有效性的影响是不同的.
结论:
- 由于在所有研究阶段不常见的参与,消费者参与药物安全干预的全部好处可能无法实现.
- 需要对所涉及的消费者的描述,他们的经验以及他们参与的影响进行更透明和更一致的报告.
- 加强报告可以提高消费者参与医疗保健设计的质量和有效性.
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