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运用药物经济学研究为阿片类药物使用障碍提供循证医学信息。

Informing evidence-based medicine for opioid use disorder using pharmacoeconomic studies.

机构信息

Department of Population Health Sciences, Division of Comparative Effectiveness & Outcomes Research, Joan and Sanford I. Weill Medical College of Cornell University, New York, NY, USA.

出版信息

Expert Rev Pharmacoecon Outcomes Res. 2024 Jun;24(5):599-611. doi: 10.1080/14737167.2024.2350561. Epub 2024 May 9.

Abstract

INTRODUCTION

The health and economic consequences of inadequately treated opioid use disorder (OUD) are substantial. Healthcare systems in the United States (US) and other countries are facing a growing healthcare crisis due to opioids. Although effective medications for OUD exist, relying solely on clinical information is insufficient for addressing the opioid crisis.

AREAS COVERED

In this review, the role of pharmacoeconomic studies in informing evidence-based medication treatment for OUD is discussed, with a particular emphasis on the US healthcare system, where the economic burden is significantly higher than the global average. The scope/objective of pharmacoeconomics as a distinct scientific research program is briefly defined, followed by a discussion of existing evidence informed by data from systematic reviews, in addition to a convenience sample of recently published pharmacoeconomic studies and protocols. The review also explores the need for methodological advancements in the field.

EXPERT OPINION

Despite the potential of pharmacoeconomic research in shaping evidence-based medicine for OUD, significant challenges limiting its real-world application remain. How to address these challenges are explored, including how to combine cost-effectiveness and budget impact analyses to address the needs of the healthcare system as a whole and specific stakeholders interested in adopting new OUD treatment strategies.

摘要

简介

未经充分治疗的阿片类药物使用障碍(OUD)会对健康和经济造成严重后果。由于阿片类药物,美国(美国)和其他国家的医疗保健系统正面临日益严重的医疗保健危机。尽管存在有效的 OUD 治疗药物,但仅依靠临床信息不足以解决阿片类药物危机。

涵盖领域

在这篇综述中,讨论了药物经济学研究在为 OUD 提供循证药物治疗方面的作用,特别强调了美国医疗保健系统,其经济负担明显高于全球平均水平。简要定义了药物经济学作为一个独特的科学研究计划的范围/目标,随后讨论了基于来自系统评价的数据以及最近发表的药物经济学研究和方案的便利样本的现有证据。该综述还探讨了该领域在方法学上取得进展的必要性。

专家意见

尽管药物经济学研究在为 OUD 制定循证医学方面具有潜力,但仍存在限制其实际应用的重大挑战。探讨了如何应对这些挑战,包括如何结合成本效益和预算影响分析来满足整个医疗保健系统以及对采用新的 OUD 治疗策略感兴趣的特定利益相关者的需求。

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