Roseleur Jacqueline, Harvey Gillian, Stocks Nigel, Karnon Jonathan
School of Public Health, Faculty of Health and Medical Sciences, The University of Adelaide, Adelaide, Australia.
Adelaide Nursing School, Faculty of Health and Medical Sciences, The University of Adelaide, Adelaide, Australia.
JBI Database System Rev Implement Rep. 2019 Sep;17(9):1915-1923. doi: 10.11124/JBISRIR-2017-003971.
The objective of this review is to map the evidence on the use of behavioral economic insights to improve medication adherence in adults with chronic conditions.
Medication non-adherence is a barrier to effectively managing chronic conditions, leading to poorer patient outcomes and placing an additional financial burden on healthcare systems. As the population ages and the prevalence of chronic disease increases, new ways to influence patient behavior are needed. Approaches that use insights from behavioral economics may help improve medication adherence, thus reducing morbidity, mortality and financial costs of unmanaged chronic diseases.
Eligible studies will include adults taking medication for a chronic condition. All interventions relevant to high-income settings using insights from behavioral economics to improve medication adherence in adults will be considered. Contexts may include, but are not limited to, primary health care, corporate wellness programs and health insurance schemes. Any study design published in English will be considered. Studies in facilities where medication is administered to patients will be excluded.
PubMed, Embase, Scopus, PsycINFO, EconLit and CINAHL will be searched from database inception to present. Gray literature will be searched using Google Scholar, OpenGrey and the Grey Literature Report. One reviewer will review titles, and then two reviewers will independently review abstracts to identify eligible studies. One reviewer will extract data on study characteristics, study design and study outcomes. A second reviewer will validate 25% of the extracted information. The results of the data extraction will be presented in a table, and a narrative summary will be presented.
本综述的目的是梳理关于运用行为经济学见解来提高慢性病成年患者用药依从性的证据。
用药不依从是有效管理慢性病的一个障碍，会导致患者预后较差，并给医疗保健系统带来额外的经济负担。随着人口老龄化以及慢性病患病率的上升，需要新的方法来影响患者行为。运用行为经济学见解的方法可能有助于提高用药依从性，从而降低未得到有效管理的慢性病的发病率、死亡率和经济成本。
符合条件的研究将包括正在服用慢性病药物的成年人。所有与高收入环境相关、运用行为经济学见解来提高成年患者用药依从性的干预措施都将被考虑。背景可能包括但不限于初级卫生保健、企业健康计划和健康保险计划。任何以英文发表的研究设计都将被考虑。在为患者给药的机构中开展的研究将被排除。
将检索PubMed、Embase、Scopus、PsycINFO、EconLit和CINAHL数据库，检索时间从建库起至目前。将使用谷歌学术、OpenGrey和灰色文献报告检索灰色文献。一名评审员将审查标题，然后两名评审员将独立审查摘要以确定符合条件的研究。一名评审员将提取关于研究特征、研究设计和研究结果的数据。另一名评审员将对25%的提取信息进行验证。数据提取结果将以表格形式呈现，并给出叙述性总结。
