Patient-centered interventions to improve medication management and adherence: a qualitative review of research findings.
Patient-centered interventions to improve medication management and adherence: a qualitative review of research findings.
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DOI：
10.1016/j.pec.2014.08.021
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发表时间：
2014-12
影响因子：
3.5
通讯作者：
Hornbrook MC
中科院分区：
文献类型：
--
作者：
Kuntz JL;Safford MM;Singh JA;Phansalkar S;Slight SP;Her QL;Lapointe NA;Mathews R;O'Brien E;Brinkman WB;Hommel K;Farmer KC;Klinger E;Maniam N;Sobko HJ;Bailey SC;Cho I;Rumptz MH;Vandermeer ML;Hornbrook MC
以患者为中心的改善服药依从性的方法是有希望的，但其有效性的证据尚不清楚。本文通过以患者为中心的四个领域：共享决策、提高有效处方的方法、诱导和处理患者关于用药和治疗目标的反馈的系统以及用药行为，报告了围绕干预措施以改善药物管理的科学研究的现状。我们回顾了2007年1月至2013年5月期间发表的有关这些领域干预措施的文献。两位评价者提取信息，并按干预类型对研究进行分类。我们确定了60项研究，其中40%专注于患者教育。其他干预类型包括增强型药房服务、决策辅助、共享决策和对患者依从性的临床审查。服药依从性是大多数(70%)研究的结果，尽管50%的研究也检查了以患者为中心的结果。我们确定了大量的药物管理干预措施，包括以患者为中心的护理和改善患者结果。我们无法确定这些干预措施是否比传统的药物依从性干预措施更有效。如有必要，还需要进行更多的研究，以确定有效和可行的方法，将以患者为中心纳入当前卫生保健系统的药物管理过程。
Patient-centered approaches to improving medication adherence hold promise, but evidence of their effectiveness is unclear. This review reports the current state of scientific research around interventions to improve medication management through four patient-centered domains: shared decision-making, methods to enhance effective prescribing, systems for eliciting and acting on patient feedback about medication use and treatment goals, and medication-taking behavior. We reviewed literature on interventions that fell into these domains and were published between January 2007 and May 2013. Two reviewers abstracted information and categorized studies by intervention type. We identified 60 studies, of which 40% focused on patient education. Other intervention types included augmented pharmacy services, decision aids, shared decision-making, and clinical review of patient adherence. Medication adherence was an outcome in most (70%) of the studies, although 50% also examined patient-centered outcomes. We identified a large number of medication management interventions that incorporated patient-centered care and improved patient outcomes. We were unable to determine whether these interventions are more effective than traditional medication adherence interventions. Additional research is needed to identify effective and feasible approaches to incorporate patient-centeredness into the medication management processes of the current health care system, if appropriate.
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影响因子：
5.8
作者：
Delmas, Pierre D.;Vrijens, Bernard;Watts, Nelson B.
通讯作者：
Watts, Nelson B.
DOI：
10.5588/ijtld.10.0531
发表时间：
2011-10-01
影响因子：
4
作者：
Gelmanova, I. Y.;Taran, D. V.;Keshavjee, S.
通讯作者：
Keshavjee, S.
影响因子：
5.3
作者：
Hudson, Teresa J.;Owen, Richard R.;Thapa, Purushottam
通讯作者：
Thapa, Purushottam
妇女关于他莫昔芬预防乳腺癌的决定：对量身定制的决策援助的反应。
影响因子：
3.8
作者：
Fagerlin, Angela;Zikmund-Fisher, Brian J.;Smith, Dylan M.;Nair, Vijayan;Derry, Holly A.;McClure, Jennifer B.;Greene, Sarah;Stark, Azadeh;Alford, Sharon Hensley;Lantz, Paula;Hayes, Daniel F.;Wiese, Cheryl;Zweig, Sarah Claud;Pitsch, Rosemarie;Jankovic, Aleksandra;Ubel, Peter A.
通讯作者：
Ubel, Peter A.
影响因子：
2.6
作者：
Grosset KA;Grosset DG
通讯作者：
Grosset DG