具有成本效益的药物测试:分析方法,最佳实践和临床实用性
James A Chenoweth1, Clayton K LaValley2, Cara S Eberhardt1
1Department of Emergency Medicine, UC Davis Health, Sacramento, CA, United States.
The journal of applied laboratory medicine
|January 3, 2025
概括
有效的药物测试平衡了成本和临床效用. 优化测试选择和利用是解决过量死亡人数上升和改善患者护理的关键.
科学领域:
- 临床化学 临床化学
- 毒理学 毒理学 毒理学
- 公共卫生 公共卫生
背景情况:
- 全球药物过量死亡人数正在上升,对药物检测的需求也在增加.
- 目前的测试方法,包括免疫试验和染色学,在成本,速度和准确性方面存在权衡.
- 现有的做法可能会导致不必要的费用和有限的临床效用.
研究的目的:
- 审查目前药物测试方法的现状.
- 分析药物测试中的成本效益和以患者为中心的方法.
- 为应对药物过量导致的不断变化的公共卫生挑战.
主要方法:
- 对使用物质死亡率和发病率数据的审查.
- 对物质使用障碍的经济影响的分析.
- 概述各种药物测试方法及其成本效益.
- 讨论提高测试利用率和成本效益的策略.
主要成果:
- 成本效益取决于适当的测试选择,理解局限性和解释结果.
- 优化测试面板和利用临床信息学对于有效利用至关重要.
- 新出现的威胁包括新的精神活性物质和监管转变.
结论:
- 正确使用药物测试对于成本效益和临床效用至关重要.
- 教育,临床信息学和优化的测试面板是基本的.
- 像非侵入性样本,自动化和人工智能这样的新方法可以增强测试实践.
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