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“是时候做出改变了”:转变范式,提高投入价值评估框架的质量。

"It's Time to Represent": shifting the paradigm to improve the quality of inputs into value assessment frameworks.

机构信息

Health Outcomes Division and Texas Center for Health Outcomes Research & Education (TxCORE), College of Pharmacy, University of Texas at Austin.

出版信息

J Manag Care Spec Pharm. 2021 Sep;27(9-a Suppl):S17-S21. doi: 10.18553/jmcp.2021.27.9-a.s17.

DOI:10.18553/jmcp.2021.27.9-a.s17
PMID:34579541
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10408409/
Abstract

"It's Time to Represent" integrates 2 strategies that challenge the status quo to increase the diversity of populations that participate in research and address drivers of health disparities to better inform value assessment. The first, a community-engaged campaign, proposes to develop authentic, long-term partnerships with community members, their health care providers, and researchers to tailor recruitment and retention methods for underrepresented groups and hold researchers accountable for equitable selection of study participants. The second proposes to create an expectation for researchers to routinely collect patient-reported, actionable social determinants of health data to generate enhanced real-world evidence and thereby improve the quality of inputs utilized in value assessment frameworks. No specific funding was received for this manuscript. The authors report no potential conflicts of interest.

摘要

“是时候做出改变了”提出了 2 项策略,旨在改变现状,增加参与研究的人群多样性,解决健康差异的驱动因素,从而更好地为价值评估提供信息。第一项策略是社区参与运动,建议与社区成员、他们的医疗保健提供者和研究人员建立真正的、长期的合作伙伴关系,为代表性不足的群体量身定制招募和保留方法,并要求研究人员公平选择研究参与者。第二项策略建议研究人员养成常规收集患者报告的、可操作的健康社会决定因素数据的习惯,从而生成增强的真实世界证据,进而提高价值评估框架中使用的投入质量。本文没有获得特定的资金支持。作者报告没有潜在的利益冲突。

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本文引用的文献

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Beyond Tuskegee - Vaccine Distrust and Everyday Racism.超越塔斯基吉事件——疫苗不信任与日常种族主义
N Engl J Med. 2021 Feb 4;384(5):e12. doi: 10.1056/NEJMpv2035827. Epub 2021 Jan 20.
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Use of real-world evidence in economic assessments of pharmaceuticals in the United States.在美国,药品经济评估中真实世界证据的应用。
J Manag Care Spec Pharm. 2021 Jan;27(1):5-14. doi: 10.18553/jmcp.2021.27.1.005.
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Using Mistrust, Distrust, and Low Trust Precisely in Medical Care and Medical Research Advances Health Equity.在医疗保健和医学研究中精准运用不信任、怀疑和低信任度可促进健康公平。
Am J Prev Med. 2021 Mar;60(3):442-445. doi: 10.1016/j.amepre.2020.08.019. Epub 2020 Nov 15.
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Overcoming Barriers to Parkinson Disease Trial Participation: Increasing Diversity and Novel Designs for Recruitment and Retention.克服帕金森病试验参与的障碍:增加多样性和新颖的招募及保留设计。
Neurotherapeutics. 2020 Oct;17(4):1724-1735. doi: 10.1007/s13311-020-00960-0. Epub 2020 Nov 4.
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"When Offered to Participate": A Systematic Review and Meta-Analysis of Patient Agreement to Participate in Cancer Clinical Trials.“被邀请参与时”:关于患者同意参与癌症临床试验的系统评价与荟萃分析
J Natl Cancer Inst. 2021 Mar 1;113(3):244-257. doi: 10.1093/jnci/djaa155.
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Aligning Community-Engaged Research to Context.使社区参与式研究与背景相契合。
Int J Environ Res Public Health. 2020 Feb 13;17(4):1187. doi: 10.3390/ijerph17041187.
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A framework to guide the optimal development and use of real-world evidence for drug coverage and formulary decisions.一个指导为药物覆盖范围和处方集决策优化开发和使用真实世界证据的框架。
J Comp Eff Res. 2018 Dec;7(12):1145-1152. doi: 10.2217/cer-2018-0059. Epub 2018 Nov 14.
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Impact Of Risk Adjustment For Socioeconomic Status On Medicare Advantage Plan Quality Rankings.社会经济地位风险调整对医疗保险优势计划质量排名的影响。
Health Aff (Millwood). 2018 Jul;37(7):1065-1072. doi: 10.1377/hlthaff.2017.1509.
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Narratives of community engagement: a systematic review-derived conceptual framework for public health interventions.社区参与叙事:公共卫生干预措施的系统评价衍生概念框架
BMC Public Health. 2017 Dec 11;17(1):944. doi: 10.1186/s12889-017-4958-4.
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Soc Sci Med. 2017 Mar;176:85-92. doi: 10.1016/j.socscimed.2017.01.027. Epub 2017 Jan 21.