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与患者及护理人员共同为患者定义以患者为中心:一项合作努力。

Defining patient centricity with patients for patients and caregivers: a collaborative endeavour.

作者信息

Yeoman Guy, Furlong Patricia, Seres Michael, Binder Helena, Chung Helena, Garzya Vincenzo, Jones Rachel Rm

机构信息

AstraZeneca Pharmaceuticals, Melbourn, UK.

Patient Project Muscular Dystrophy, Hackensack, New Jersey, USA.

出版信息

BMJ Innov. 2017 Apr;3(2):76-83. doi: 10.1136/bmjinnov-2016-000157. Epub 2017 Mar 24.

Abstract

BACKGROUND

Patient engagement is an essential aspect in the research/development of biopharmaceutical products and disease management. Improving the lives of patients requires a deep understanding of their medical conditions, experiences, needs and priorities. However, a consistent definition of patient centricity is lacking. A series of initiatives was conducted to define patient centricity and its important principles impacting the biopharmaceutical industry.

METHODS

Interviews, questionnaires and literature reviews were conducted involving key stakeholders to initially identify issues of importance to patients, healthcare providers and payers. Subsequently, two identical workshops which included 22 patients/carers created a definition of patient centricity and the healthcare values important to patients/caregivers. Outputs were tested in a validation exercise involving patients in predominantly US (n=470) and European (n=703) patient forums.

RESULTS

Initial research provided deeper understanding of patient needs and key topics of interest that were used to cocreate a definition of patient centricity and 10 associated principles of importance to the biopharmaceutical industry. Wider testing of these outputs among predominantly US/European patient communities confirmed their validity. Patient centricity should be defined as 'Putting the patient first in an open and sustained engagement of the patient to respectfully and compassionately achieve the best experience and outcome for that person and their family'. Important principles for patients focused on education/information, cocreation, access and transparency.

CONCLUSIONS

The development of a consistent definition of patient centricity and its associated principles provides an opportunity for biopharmaceutical companies to adopt and use these as a reference point for consistent patient engagement throughout the product life cycle.

摘要

背景

患者参与是生物制药产品研发和疾病管理的一个重要方面。改善患者生活需要深入了解他们的病情、经历、需求和优先事项。然而,目前缺乏对以患者为中心的一致定义。开展了一系列举措来界定以患者为中心及其对生物制药行业产生影响的重要原则。

方法

对关键利益相关者进行访谈、问卷调查和文献综述,以初步确定对患者、医疗服务提供者和支付方重要的问题。随后,两个相同的研讨会(包括22名患者/护理人员)制定了以患者为中心的定义以及对患者/护理人员重要的医疗保健价值观。在美国(n = 470)和欧洲(n = 703)的主要患者论坛中,对患者进行了验证性测试以检验结果。

结果

初步研究更深入地了解了患者需求和关键关注主题,这些被用于共同制定以患者为中心的定义以及对生物制药行业重要的10项相关原则。在美国/欧洲主要患者群体中对这些结果进行的更广泛测试证实了其有效性。以患者为中心应被定义为“在与患者进行开放且持续的互动中,将患者置于首位,以尊重和同情的态度为该患者及其家人实现最佳体验和结果”。对患者而言的重要原则集中在教育/信息、共同创造、可及性和透明度方面。

结论

制定以患者为中心的一致定义及其相关原则,为生物制药公司在整个产品生命周期采用并将其作为持续患者参与的参考点提供了契机。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7601/5468520/8360276ee482/bmjinnov-2016-000157f01.jpg

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