与激励相关的处方和患者的困境:巴基斯坦的一项定性研究
Muhammad Naveed Noor1, Zahida Azizullah1, Haider Safdar Abbasi1
1Department of Pathology and Lab Medicine, Aga Khan University, Karachi, Pakistan.
JPMA. The Journal of the Pakistan Medical Association
|December 8, 2024
概括
与激励相关的处方 (ILP) 对巴基斯坦患者产生负面影响,导致经济困难,精神困扰和治疗坚持问题. 患者认识到这种做法会损害他们的福祉和对医生的信任.
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
- 患者报告的结果
背景情况:
- 与激励相关的处方 (ILP) 是医疗保健系统日益关注的问题.
- 了解患者对ILP的看法对于伦理医学实践至关重要.
研究的目的:
- 调查激励相关处方 (ILP) 对巴基斯坦患者日常生活的感知影响.
主要方法:
- 在巴基斯坦卡拉奇,对26名患者进行深入采访的定性研究.
- 在卡拉奇的六个地区进行了便利抽样.
- 使用NVivo 12软件对采访数据进行主题分析.
主要成果:
- 患者报告说,由于ILP,他们遇到了财务困难,精神困扰和坚持医疗治疗的挑战.
- 人们认为ILP驱使医生处方昂贵的药物,增加患者的财务负担.
- 由于药物成本,一些患者诉诸家庭疗法,而不是寻求专业医疗保健.
结论:
- 患者意识到ILP,并认为它对他们的健康和财务福祉有害.
- 医生参与ILP可能会对他们的社会声誉产生负面影响.
- 建议医疗保健提供者遵守以患者为中心的护理原则,避免ILP.
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