改善初级药物不服药的干预措施:一个范围审查
Nga-Weng Ivy Leong1, Shishir Maharjan1, Saara Z Nasruddin1
1Department of Pharmacy Administration, School of Pharmacy, University of Mississippi, University, Oxford, MS, USA.
Journal of the American Pharmacists Association : JAPhA
|October 10, 2025
概括
改善药物坚持对于更好的健康结果至关重要. 药剂师主导的咨询和减少自费费用是打击初级药物不服药的有效策略.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 制药科学 制药科学
- 患者坚持性研究
背景情况:
- 主要药物不坚持显著影响患者的健康结果.
- 现有的改善依从性的干预措施缺乏全面的证据审查.
- 这项研究解决了了解初级不坚持治疗的干预有效性的需要.
研究的目的:
- 系统地审查和分析最近关于旨在改善初级药物不服药的干预措施的文献.
- 确定有效的干预策略及其特点.
主要方法:
- 在多个数据库中进行了广泛的电子文献搜索,截至2025年7月.
- 包括自2000年以来发表的英语文章,重点关注初级药物不服药干预措施.
- 使用健康金字塔框架和TIDieR检查清单来提取数据.
主要成果:
- 分析了40项研究,主要来自美国,涉及各种医疗保健机构.
- 干预措施包括患者咨询/教育 (57.5%),社会经济学 (27.5%) 和临床方法 (15%).
- 有效的干预措施包括药剂师咨询和降低患者自付费用.
结论:
- 对初级药物不服药的干预效果在不同环境和人群中存在很大差异.
- 药剂师或护士的面对面或混合咨询显示出显著的有效性.
- 针对社会经济因素,如成本,也显示出改善遵守的希望.
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