Widgets: why are some interventions better than others?
نویسندگان
چکیده
the broader context of service provision, it is important that this does not race ahead of clear prescribing policies, underpinned by pharmocoeconomic considerations. We agree with the respondents that since buprenorphine is more expensive than methadone, the pharmocoeconomic aspects of prescribing need rigorous investigation. Whilst the studies they cite provide preliminary evidence of equipoise between buprenorphine and methadone, as they point out. these do not adequately take into account the broader effects on quality of life and user satisfaction, as well as other important adverse effects such as overdose. Future pharmacoeconomic studies should also address clinical concerns that, in the context of limited budgets, clinicians are forced to walk a tightrope in balancing quality and quantity in terms of service provision. More expensive treatment runs the risk of reducing the number of individuals for whom treatment is available. We completely agree with the authors that these difficult decisions can only be made in the context of well-designed pharmacoeconomic studies which take multiple factors into account.
منابع مشابه
Correction: Why Are Some Population Interventions for Diet and Obesity More Equitable and Effective Than Others? The Role of Individual Agency
Jean Adams and colleagues argue that population interventions that require individuals to use a low level of agency to benefit are likely to be most effective and most equitable.
متن کاملWhy Do the Results of Studies on the Effectiveness of Pralidoxime for Treatment of Organophosphate Poisoning Vary?
Organophosphate (OP) compounds are frequently used agorchemicals for deliberate self-harm in some parts of the world resulting in high mortality and morbidity. Pralidoxime (2PAM) is the most widely used and trialed oxime for treatment of OP poisoning. There have been variations over the results of trials using 2PAM for OP poisoning. 2PAM therapy has led to favorable outcomes in some studies, wh...
متن کاملInfluence of History, Geography, and Economics on the Elimination of Malaria: A Perspective on Disease Persistence in Rural Areas of Zambia
The fight against malaria is currently ongoing in many countries where the disease is still endemic. The overall target is to eliminate malaria in all nations, regardless of their malaria burden, by 2030. Currently, the disease has been eliminated mainly in low-burden and unstable malaria areas globally. However, in high-burden countries, particularly in Africa, the disease is still not elimina...
متن کاملWhy Should We Have a Periodic Safety and Performance Program for Medical Devices
Nowadays, more than 10,000 different types of medical devices can be found in hospitals.These devices used in medical centers and hospitals for monitoring and treatment of patients require periodic safety and performance checking in order to have confidence in their functioning and operation. Physicians need better accurate medical measurements in order to better diagnose diseases, monitor pati...
متن کاملRethinking the politics and implementation of health in all policies
In Europe, successful health policies have contributed to a continued decline in mortality. However, not all parts of Europe have benefited equally and the sustainability of achievements cannot be taken for granted since health policies vary widely even among neighbouring countries. Furthermore, there are a number of remaining public health challenges such as food and alcohol polices. We argue ...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Addiction
دوره 100 9 شماره
صفحات -
تاریخ انتشار 2005