利益相关者对药物坚持的看法 加强干预措施
Bijan J Borah1, Lisa J Pieretti2, Alan J Balch3
1Mayo Clinic College of Medicine and Science and the Kern Center for the Science of Health Care Delivery, Rochester, MN, USA.
概括
药物不服药影响50%的患者,导致不良事件和高成本. 一项系统的文献审查发现,虽然临床结果是测量的,但经济和患者报告的结果需要更多的关注依从性干预措施.
科学领域:
- 卫生经济学 卫生经济学
- 患者坚持的研究研究.
- 医疗保健管理的管理
背景情况:
- 药物不服药是一个重大的医疗保健挑战,患病率约为50%,导致可避免的不良事件和每人每年相当大的成本.
- ISPOR药物坚持和持续性特别利益小组的2023年系统文献审查 (SLR) 旨在评估评估药物坚持增强干预措施 (MAEI) 的措施.
研究的目的:
- 通过介绍利益关方对MAEI评估的观点来补充SLR的发现.
- 确定MAEIs结果测量的差距,并提出未来的研究方向.
主要方法:
- 系统性文献审查 (SLR) 在2023年进行.
- 分析利益相关者的观点 (患者,制造商,提供者,医疗技术评估机构,付款人).
主要成果:
- SLR显示了药物坚持和临床结果的频繁测量,但经济和患者报告的结果未得到充分研究.
- 利益相关者强调MAEIs需要证明改善临床结果,生活质量和节省成本.
- 该SLR强调需要基于共识的标准来评估MAEIs.
结论:
- 国际商业银行需要采用全面的方法,包括基于社会经济因素和社会需求的个性化策略.
- 未来的研究应该量化MAEI实施成本和利益相关者承担成本的机制,以实现广泛采用.
- 整合人工智能和以患者为中心的方法对于开发有效的个性化坚持策略至关重要.
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