患者对药房服务的偏好:基于离散选择实验的研究系统回顾

Margaux Riboulet, Anne-Laure Clairet, Mohamed Bennani, Virginie Nerich
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引用次数: 0

摘要

背景与目的近年来,药师的使命发生了变化,以患者为中心的护理关系模式受到了挑战。提供个性化护理的一个挑战是评估患者的偏好。我们的目的是系统地识别已发表的与患者对药房服务偏好相关的离散选择实验,并评估所选文章的质量。方法根据系统评价和荟萃分析(PRISMA)推荐的首选报告项目,在两个数据库(PubMed和Embase,截止到2023年3月)中对文献进行系统评价。所选文章的质量根据国际药物经济学与结果研究学会联合分析清单进行评估。结果在421篇文献中,纳入并分析了16篇已发表的研究。它们主要发表在药学(n = 6)、经济学(n = 4)和公共卫生(n = 4)期刊上。只有两篇文章涉及医院药学领域。只有五个提出了具体的药房服务研究:处方的填写,症状的管理,治疗交付,和药剂师咨询的组成部分。五篇文章集中于与特定疾病相关的药房服务。没有一个完全符合国际药物经济学和结果研究学会的检查表,只有部分符合。结论根据已确定的研究,成本、时间、物流(组织标准)和药剂师的礼貌和技能一直被认为是影响患者对药房服务偏好的因素。患者偏好的披露是一个复杂且研究不足的话题,特别是在药学领域,但兴趣正在增长。随着药剂师的使命不断发展,使他们更接近患者,更好地了解患者对药房服务的偏好,将有助于更好地定位和更好地整合患者管理中的患者资料。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Patient Preferences for Pharmacy Services: A Systematic Review of Studies Based on Discrete Choice Experiments

Patient Preferences for Pharmacy Services: A Systematic Review of Studies Based on Discrete Choice Experiments

Background and Objective

In recent years, the mission of pharmacists has evolved and the model of the caregiver–patient relationship has been challenged by a new patient-centered approach. A challenge to providing personalized care is the assessment of patient preferences. We aimed to systematically identify published discrete choice experiments related to patient preferences for pharmacy services and to assess the quality of the selected articles.

Methods

A systematic review of the literature was conducted in two databases (PubMed and Embase, until March 2023) according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) recommendations. The quality of the selected articles was assessed according to the International Society for Pharmacoeconomics and Outcomes Research conjoint analysis checklist.

Results

Among the 421 articles identified, 16 published studies were included and analyzed. They were mostly published in pharmaceutical (n = 6), economic (n = 4), and public health (n = 4) journals. Only two articles concerned the field of hospital pharmacy. Only five presented the specific pharmacy service studied: filling of prescriptions, management of symptoms, treatment delivery, and components of pharmacist counseling. Five articles focused on pharmacy services related to a specific disease. None fully fulfilled the International Society for Pharmacoeconomics and Outcomes Research checklist, only partially fulfilled.

Conclusions

According to the identified studies, cost, time, logistics (organizational criteria), and pharmacists’ courtesy and skills were consistently cited as factors influencing patient preferences for pharmacy services. The disclosure of patient preferences is a complex and under-researched topic, especially in the field of pharmacy, but interest is growing. As the mission of pharmacists evolves to bring them closer to patients, the better understanding of patient preferences in pharmacy services will allow for better targeting and better integration of patient profiles in patient management.

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