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1990 - 2021年欧洲国家与药物警戒相关的事件、疾病负担及整体医疗效率

Pharmacovigilance-related events, disease burden and overall efficiency of care in european countries, 1990-2021.

作者信息

Yin Lin, Lin Shuzhi, Liu Qian, Zhu Xiaoying, Liu Wei, Shen Yifang, Li Zimeng, Feng Bianling

机构信息

The Department of Pharmacy Administration, School of Pharmacy, Xi'an Jiaotong University, Xi'an, Shaanxi, China.

The Center for Drug Safety and Policy Research, Xi' an Jiaotong University, Xi'an, Shaanxi, China.

出版信息

Front Pharmacol. 2025 Jun 27;16:1592957. doi: 10.3389/fphar.2025.1592957. eCollection 2025.

Abstract

OBJECTIVES

This study aimed to evaluate and compare the disease burden of pharmacovigilance-related events in European countries, to identify the factors related to pharmacovigilance-related inputs in various countries, and to analyze and compare the comprehensive benefits of pharmacovigilance-related events in various countries.

METHODS

Using the Global Burden of Disease Study 2021 database, we combined information on adverse effects of medical treatment and drug use disorders to identify all pharmacovigilance-related events. We used principal component analysis to synthesize six first-level indicators to compare the burden of disease in each country in each year. We used data envelopment analysis to compare the efficiency of pharmacovigilance in each country.

RESULTS

In 2021, the Quality of care index for pharmacovigilance-related events was highest in Northern and Western European countries. Looking at data from 1990 to 2021, the change node of this index in most countries occurred around 2000 to 2010, and the value changed steadily. Countries with relatively low investment in health resources and less experience in the supervision of adverse drug reactions have higher comprehensive benefits of nursing for pharmacovigilance-related events.

CONCLUSION

The effect of the development of a system for pharmacovigilance has a hysteresis. The disease burden is affected by various factors such as population aging, human resource investment, and medical and health needs, and the policy is highly dominant.

摘要

目的

本研究旨在评估和比较欧洲国家药物警戒相关事件的疾病负担,确定各国与药物警戒相关投入的影响因素,并分析和比较各国药物警戒相关事件的综合效益。

方法

利用《2021年全球疾病负担研究》数据库,我们整合了医疗治疗不良反应和药物使用障碍的信息,以识别所有药物警戒相关事件。我们使用主成分分析来综合六个一级指标,以比较每年各国的疾病负担。我们使用数据包络分析来比较各国药物警戒的效率。

结果

2021年,北欧和西欧国家药物警戒相关事件的护理质量指数最高。从1990年到2021年的数据来看,大多数国家该指数的变化节点出现在2000年至2010年左右,且数值稳步变化。卫生资源投入相对较低且药物不良反应监管经验较少的国家,药物警戒相关事件护理的综合效益较高。

结论

药物警戒系统发展的效果具有滞后性。疾病负担受人口老龄化、人力资源投入、医疗卫生需求等多种因素影响,政策主导性强。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ebde/12245805/28af6ff93b93/fphar-16-1592957-g001.jpg

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