Until now, the extent to which the guidance of patients could be improved to promote the correct use of medication had been unclear. Researchers at Maastricht University, collaborating with researchers from Wageningen University and the University of Sussex (UK), have now come to the striking conclusion that the percentage of successfully treated patients could increase by approximately forty per cent with optimum guidance. They have written about their findings in a study into the quality of guidance provided in the treatment of HIV in Archives of Internal Medicine (9 February).
Four out of ten patients being treated for chronic conditions do not take their medication as prescribed. They underestimate, for example, the risk of missed doses, have difficulty with integrating the treatment into their lives or simply forget to take the medicine. As a result, the patient does not experiences all the benefits of the treatment. Moreover, this leads to an increase in the medical costs as extra medical examinations are necessary, patients require additional or more expensive medication or they may need to be admitted to hospital.
The researchers compared the results of 31 studies with an average of 200 patients each, carried out in Europe and the United States. These studies looked at the effectiveness of specially-developed guidance programmes for HIV patients as well as the effectiveness of the regular guidance that patients receive as part of the usual medical care in HIV clinics. There are large differences in the quality of care offered by the different clinics. The introduction of the best programme in a clinic with low-quality guidance can double the success of treatment, while the effect of the same programme introduced in a clinic with high-quality care will be considerably smaller. As the best evaluated programme is also very labour-intensive, and therefore not feasible for many hospitals, the researchers recommend the large-scale introduction of patient guidance comparable with the best care already offered by a number of HIV clinics. Trained doctors and HIV nurses can deliver this care within the limited time available for a consultation. The expectation is that the introduction of this in Western HIV clinics will increase the effectiveness of the treatment of HIV by approximately 35%.
The costs of health care in the Netherlands amount to around 70 billion euros a year, and in the United States around 1.5 trillion dollars are spent on treating chronic conditions each year. An increase of “just” five or ten per cent in the effectiveness of the treatment of chronic conditions with medicines could thus reduce health care costs billions of euros per year. The current study also demonstrates the importance of behavioural science research in supporting modern medical treatments.
The research, as part of a PhD trajectory, was carried out by researchers from the Maastricht University (Work & Social Psychology department; Methodology & Statistics department), Communication Science department at Wageningen University, part of Wageningen UR, and the University of Sussex, Brighton, UK (School of Psychology).
Jac Niessen | alfa
TSRI researchers develop new method to 'fingerprint' HIV
29.03.2017 | Scripps Research Institute
Periodic ventilation keeps more pollen out than tilted-open windows
29.03.2017 | Technische Universität München
The Institute of Semiconductor Technology and the Institute of Physical and Theoretical Chemistry, both members of the Laboratory for Emerging Nanometrology (LENA), at Technische Universität Braunschweig are partners in a new European research project entitled ChipScope, which aims to develop a completely new and extremely small optical microscope capable of observing the interior of living cells in real time. A consortium of 7 partners from 5 countries will tackle this issue with very ambitious objectives during a four-year research program.
To demonstrate the usefulness of this new scientific tool, at the end of the project the developed chip-sized microscope will be used to observe in real-time...
Astronomers from Bonn and Tautenburg in Thuringia (Germany) used the 100-m radio telescope at Effelsberg to observe several galaxy clusters. At the edges of these large accumulations of dark matter, stellar systems (galaxies), hot gas, and charged particles, they found magnetic fields that are exceptionally ordered over distances of many million light years. This makes them the most extended magnetic fields in the universe known so far.
The results will be published on March 22 in the journal „Astronomy & Astrophysics“.
Galaxy clusters are the largest gravitationally bound structures in the universe. With a typical extent of about 10 million light years, i.e. 100 times the...
Researchers at the Goethe University Frankfurt, together with partners from the University of Tübingen in Germany and Queen Mary University as well as Francis Crick Institute from London (UK) have developed a novel technology to decipher the secret ubiquitin code.
Ubiquitin is a small protein that can be linked to other cellular proteins, thereby controlling and modulating their functions. The attachment occurs in many...
In the eternal search for next generation high-efficiency solar cells and LEDs, scientists at Los Alamos National Laboratory and their partners are creating...
Silicon nanosheets are thin, two-dimensional layers with exceptional optoelectronic properties very similar to those of graphene. Albeit, the nanosheets are less stable. Now researchers at the Technical University of Munich (TUM) have, for the first time ever, produced a composite material combining silicon nanosheets and a polymer that is both UV-resistant and easy to process. This brings the scientists a significant step closer to industrial applications like flexible displays and photosensors.
Silicon nanosheets are thin, two-dimensional layers with exceptional optoelectronic properties very similar to those of graphene. Albeit, the nanosheets are...
20.03.2017 | Event News
14.03.2017 | Event News
07.03.2017 | Event News
29.03.2017 | Materials Sciences
29.03.2017 | Physics and Astronomy
29.03.2017 | Earth Sciences