用人口统计学和地理学方法和技术模拟人口层面的药物使用情况

F. Janssen, E. Hak
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引用次数: 0

摘要

在药物流行病学和药物安全领域,正如在更广泛的流行病学领域一样,重点一直放在个人水平的研究上。然而,药物使用对整个社会的影响不能直接从这些研究中推断出来,需要进行人口一级的因果设计。例如,就卫生政策而言,至关重要的是要了解药物在影响区域、国家或国际发病率和死亡率趋势方面的作用。同样,预测(未来)当地保健和药物使用水平对于预防目的、有针对性地分配保健和满足保健需求至关重要。此外,社会中药物的实际最终用户可能与用于研究药物注册疗效的临床试验人群[1,2]存在很大差异[3]。
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Modelling population-level drug use with demographic and geographic approaches and techniques
Within the field of pharmacoepidemiology and drug safety as in the wider field of epidemiology focus has been on individual-level studies. However, the impact of drug use for the society as a whole cannot directly be inferred from such studies and population-level causal designs are required. For example, for health policy it is crucial to know the role of drugs in affecting regional, national or international morbidity and mortality trends. Similarly, predicting (future) levels of local health care and drug use is essential for prevention purposes, targeted allocation of care and meeting health demands. Moreover, actual end users of drugs in society may largely differ from clinical trial populations [1,2] used to study the efficacy of drugs for registration purposes [3].
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