Development and application of discrete choice experiments to pharmacy policy

以健康经济学的方法来制药和发展健康经济学的方法将这项研究从该领域的许多工作中分离出来。跨学科方法的结果突出了开发方法和药学应用的独特优势。冠心病是卫生部最近制定的一项指南的主题，也是一个优先保健领域。社区药房药品管理项目，跳板，我完成的博士课程，由卫生部资助，以促进创新的药房为基础的药品管理服务的发展。离散选择实验（DCEs）技术允许从患者的角度对慢性病患者的替代药物服务进行评估。不同的传统方法的效益评价，如临床结果，生活质量和病人满意度，通常用于药学卫生服务的研究。他们的贡献，效益评估，可能的局限性进行了讨论，结果进行了比较，创新的DCE方法。这些方法，然后纳入经济评价框架，以建议如何最大限度地分配稀缺资源时，实施药房健康服务。然后讨论了这些替代方法的不同结果对决策者的影响。了解病人的选择对保健专业人员和决策者很重要，这样就可以改进健康促进和健康干预措施，充分纳入以病人为中心的办法。

Taking a health economics approach to pharmacy and developing the health economics methodology separates this research from much work in the field. The results of the interdisciplinary approach highlight the unique benefit of developing both the methodology and the pharmacy applications. Coronary heart disease is the subject of a recent guideline developed by the Department of Health and is a priority health area. The Community Pharmacy Medicines Management project, springboard to my completed doctoral program, was funded by the Department of Health to promote the development of an innovative pharmacy-based medicines management service. The Discrete Choice Experiments (DCEs) technique allows evaluation, from a patient perspective, of an alternative pharmaceutical service for patients with chronic disease. Different traditional approaches in benefit evaluations, such as clinical outcome, quality of life and patient satisfaction, are commonly used in pharmacy health services research. Their contribution to benefit evaluation is presented, possible limitations are discussed and results are compared to the innovative DCE methodology. Such approaches are then incorporated into the economic evaluation framework in order to advise how to maximise the allocation of scarce resources when implementing pharmacy health services. The impact on policy makers of different results from such alternative approaches is then discussed. Understanding the choices made by patients is important for health professionals and policy makers such that health promotion and health interventions can be improved to fully incorporate a patient-centred approach.