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Factors and Situations Affecting the Value of Patient Preference Studies: Semi-Structured Interviews in Europe and the US

机译:影响患者偏好研究价值的因素和情况:欧洲和美国的半结构化访谈

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摘要

>Objectives: Patient preference information (PPI) is gaining recognition among the pharmaceutical industry, regulatory authorities, and health technology assessment (HTA) bodies/payers for use in assessments and decision-making along the medical product lifecycle (MPLC). This study aimed to identify factors and situations that influence the value of patient preference studies (PPS) in decision-making along the MPLC according to different stakeholders. >Methods: Semi-structured interviews (n = 143) were conducted with six different stakeholder groups (physicians, academics, industry representatives, regulators, HTA/payer representatives, and a combined group of patients, caregivers, and patient representatives) from seven European countries (the United Kingdom, Sweden, Italy, Romania, Germany, France, and the Netherlands) and the United States. Framework analysis was performed using NVivo 11 software. >Results: Fifteen factors affecting the value of PPS in the MPLC were identified. These are related to: study organization (expertise, financial resources, study duration, ethics and good practices, patient centeredness), study design (examining patient and/or other preferences, ensuring representativeness, matching method to research question, matching method to MPLC stage, validity and reliability, cognitive burden, patient education, attribute development), and study conduct (patients’ ability/willingness to participate and preference heterogeneity). Three types of situations affecting the use of PPS results were identified (stakeholder acceptance, market situations, and clinical situations). >Conclusion: The factors and situation types affecting the value of PPS, as identified in this study, need to be considered when designing and conducting PPS in order to promote the integration of PPI into decision-making along the MPLC.
机译:>目标:患者偏好信息(PPI)在制药行业,监管机构和卫生技术评估(HTA)机构/付款人中得到认可,可用于医疗产品生命周期的评估和决策( MPLC)。这项研究旨在根据不同的利益相关者,确定影响患者偏好研究(PPS)在MPLC决策中的价值的因素和情况。 >方法:对六个不同的利益相关者群体(医师,学者,行业代表,监管机构,HTA /付款人代表以及患者,护理人员和医疗人员的组合)进行了半结构式访谈(n = 143)。来自七个欧洲国家(英国,瑞典,意大利,罗马尼亚,德国,法国和荷兰)和美国的患者代表。框架分析是使用NVivo 11软件进行的。 >结果:确定了影响MPLC中PPS值的15个因素。这些与以下各项有关:研究组织(专长,财务资源,研究持续时间,道德和良好实践,以患者为中心),研究设计(检查患者和/或其他偏好,确保代表性,研究问题的匹配方法,MPLC阶段的匹配方法) ,有效性和可靠性,认知负担,患者教育,属性发展)和学习行为(患者的参与能力/意愿以及偏好异质性)。确定了三种影响PPS结果使用的情况(利益相关者的接受程度,市场情况和临床情况)。 >结论:在设计和执行PPS时,需要考虑本研究中确定的影响PPS价值的因素和情况类型,以促进PPI沿着MPLC融入决策。

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