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衡量患者参与和以患者为中心在临床研究与开发中的影响。

Measuring the Impact of Patient Engagement and Patient Centricity in Clinical Research and Development.

机构信息

Tufts Center for the Study of Drug Development, Tufts University School of Medicine, 75 Kneeland Street, Suite 1100, Boston, MA, 02111, USA.

Drug Information Association, DIA Global Center, Washington, DC, USA.

出版信息

Ther Innov Regul Sci. 2020 Jan;54(1):103-116. doi: 10.1007/s43441-019-00034-0. Epub 2020 Jan 6.

Abstract

BACKGROUND

Recently, drug development companies have sought out patient feedback to improve overall drug development. However, characterization of the overall impact and return on engaging with patients have not been determined.

METHODS

The Drug Information Association (DIA), the Tufts Center for the Study of Drug Development (Tufts CSDD), and 17 other stakeholder organizations collaborated on a study to (1) quantify and define patient-centric initiatives (PCIs) utilized in clinical research and development and (2) to define evidence-based metrics and performance indicators that demonstrate return on engagement (ROE) of specific PCIs. We conducted a literature review, industry surveys, and in-depth interviews to determine and measure the impact of adopted PCIs.

RESULTS

We identified and defined 30 PCIs used to engage with patients. We analyzed 121 case studies and created a comprehensive list of metrics assessing overall return to the organization and to patients. Advocacy Group Support and Involvement, Conducting Patient Advisory Panels, and Focus Groups were examples of PCIs with the lowest cost and largest impact with respect to quality, speed, and impact on the patient relative to other PCIs.

CONCLUSION

The results from the literature review and use cases provide drug development teams with evidence and insights to help facilitate the adoption of specific PCIs within their organization and to help select those initiatives that would provide the highest impact to patients and development organizations. It is also hoped that the biopharmaceutical industry will apply the standardized metrics in the toolkit to systematically assess the overall return on engagement.

摘要

背景

最近,制药公司寻求患者的反馈意见,以改善整体药物开发。然而,参与患者的整体影响和回报特征尚未确定。

方法

药物信息协会(DIA)、塔夫茨药物开发研究中心(Tufts CSDD)和其他 17 个利益相关者组织合作进行了一项研究,(1)量化和定义临床研究和开发中使用的以患者为中心的举措(PCIs),(2)定义基于证据的衡量标准和绩效指标,以展示特定 PCIs 的参与回报(ROE)。我们进行了文献回顾、行业调查和深入访谈,以确定和衡量采用的 PCIs 的影响。

结果

我们确定并定义了 30 种用于与患者接触的 PCIs。我们分析了 121 个案例研究,并创建了一个全面的指标列表,评估对组织和患者的总体回报。倡导团体支持和参与、开展患者咨询小组和焦点小组是具有最低成本和最大影响的 PCIs 的示例,这些举措在质量、速度以及对患者的影响方面相对于其他 PCIs 具有优势。

结论

文献回顾和用例的结果为药物开发团队提供了证据和见解,以帮助他们在组织内采用特定的 PCIs,并帮助选择那些对患者和开发组织产生最大影响的举措。我们还希望生物制药行业将工具包中的标准化指标应用于系统评估参与的整体回报。

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