直接面向消费者的测试:商业上可访问的实验室测试的好处和担忧
Matthias Orth1,2, Sverre Sandberg3,4, Patti Shih5
1Vinzenz von Paul Kliniken gGmbH, Institut für Laboratoriumsmedizin Stuttgart, Germany.
Clinical chemistry
|February 18, 2025
概括
直向消费者测试 (DTCT) 赋予患者权力,但缺乏传统的医疗保健保护,带来风险. 虽然在某些情况下是有益的,但DTCT可能会使健康个体医疗化,并削弱对实验室测试可靠性的信任.
科学领域:
- 临床化学 临床化学
- 实验室医学 实验室医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 患者自我赋权正在将实验室测试的启动从医疗保健专业人员转移到个人身上.
- 直向消费者测试 (DTCT) 在传统医疗保健系统之外运行,缺乏既定的患者保护措施.
- 积极的DTCT营销可能会误导消费者,可能会造成心理,身体和财务伤害.
研究的目的:
- 分析直接向消费者测试 (DTCT) 在当代医疗保健中的影响.
- 评估与患者直接启动实验室测试相关的益处和风险.
- 评估DTCT对患者赋权和医疗保健系统信任的影响.
主要方法:
- 对直接向消费者进行实验室检测的当前文献的综述.
- 对DTCT相关的监管框架和消费者保护措施的分析.
- 检查使用DTCT的消费者潜在的心理,身体和财务后果.
主要成果:
- DTCT提供了患者赋权,但通常在没有足够的消费者信息或监督的情况下销售.
- 实验室测试的好处取决于适当的应用,样品处理和结果解释,但在DTCT中可能会受到损害.
- 消费者对DTCT的知识是可变的,缺乏可靠的指导资源.
结论:
- DTCT带来了医疗健康个体的实质性风险,并破坏了对实验室测试可靠性的信任.
- 虽然DTCT在特定情况下可能提供优势,但其不受监管的性质对消费者福祉构成重大威胁.
- 在DTCT营销过程中缺乏医疗保健保护规则和并发的消费者信息是一个关键问题.
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