{"id":6105,"date":"2025-04-17T15:16:51","date_gmt":"2025-04-17T19:16:51","guid":{"rendered":"https:\/\/colpittsclinical.com\/?p=6105"},"modified":"2025-04-17T15:32:16","modified_gmt":"2025-04-17T19:32:16","slug":"the-impact-of-using-travel-and-expense-providers-on-patient-retention-and-recruitment","status":"publish","type":"post","link":"https:\/\/colpittsclinical.com\/lt\/the-impact-of-using-travel-and-expense-providers-on-patient-retention-and-recruitment\/","title":{"rendered":"Kelioni\u0173 ir i\u0161laid\u0173 kompensavimo paslaug\u0173 teik\u0117j\u0173 naudojimo poveikis pacient\u0173 i\u0161laikymui ir \u012fdarbinimui"},"content":{"rendered":"

Kelioni\u0173 ir i\u0161laid\u0173 kompensavimo paslaug\u0173 teik\u0117j\u0173 poveikis pacient\u0173 i\u0161laikymui ir \u012fdarbinimui klinikiniuose tyrimuose - vis aktualesn\u0117 sritis.
\n\u0160ia tema atlikta keletas svarbiausi\u0173 tyrim\u0173 ir ataskait\u0173.<\/p>\n

\"Deloitte\" 2021 m. pasaulio gyvyb\u0117s moksl\u0173 ap\u017evalga<\/strong> pabr\u0117\u017eia, kad finansin\u0117 ir logistin\u0117 pagalba gali labai pagerinti pacient\u0173 pritraukim\u0105 \u012f klinikinius tyrimus, ypa\u010d pritraukiant \u012fvairesnius pacientus.
\nAtaskaitoje teigiama, kad teikiant toki\u0105 pagalb\u0105, pavyzd\u017eiui, apmokant kelion\u0117s i\u0161laidas ir teikiant logistin\u0119 param\u0105, pa\u0161alinamos kelios pagrindin\u0117s kli\u016btys, su kuriomis susiduria potencial\u016bs dalyviai, ypa\u010d tie, kurie priklauso nepakankamai aptarnaujamoms ar ekonomi\u0161kai nepalankioje pad\u0117tyje esan\u010dioms gyventoj\u0173 grup\u0117ms.<\/p>\n

\"Deloitte\" ataskaitoje pabr\u0117\u017eiama, kad pagalbos kelionei ir finansin\u0117s paramos teikimas yra vienas i\u0161 pagrindini\u0173 b\u016bd\u0173, kaip pagerinti \u012fdarbinim\u0105, u\u017etikrinant, kad tyrime gal\u0117t\u0173 dalyvauti \u012fvairesni pacientai, o tai leist\u0173 pasiekti platesni\u0173 ir reprezentatyvesni\u0173 klinikini\u0173 tyrim\u0173 rezultat\u0173.<\/p>\n

\u201cPacient\u0173 i\u0161laid\u0173 kompensavimo poveikis \u012fdarbinimui ir i\u0161laikymui klinikiniuose tyrimuose\u201d (2015) Klinikini\u0173 tyrim\u0173 \u017eurnale paskelbtame tyrime<\/strong> <\/em>kurioje nagrin\u0117jama, kaip kelion\u0117s, apgyvendinimo ir maitinimo i\u0161laid\u0173 kompensavimas gali paveikti pacient\u0173 \u012fdarbinim\u0105 ir i\u0161laikym\u0105. Autoriai nustat\u0117, kad kai tyrim\u0173 r\u0117m\u0117jai teikia finansin\u0119 param\u0105 tokioms i\u0161laidoms padengti, pastebimai pager\u0117ja pacient\u0173 \u012fdarbinimo ir i\u0161laikymo rodikliai, ypa\u010d pacient\u0173 i\u0161 ma\u017eesnes pajamas gaunan\u010di\u0173 \u0161eim\u0173 arba pacient\u0173, gyvenan\u010di\u0173 toli nuo tyrim\u0173 viet\u0173.<\/p>\n

\u201cTransporto vaidmens klinikini\u0173 tyrim\u0173 \u012fdarbinimui ir i\u0161laikymui vertinimas: (2020) \u0160is tyrimas, paskelbta \u017eurnale \"Contemporary Clinical Trials\".<\/strong>, ypa\u010d nagrin\u0117jo transporto i\u0161laid\u0173 vaidmen\u012f ir tai, kaip kompensavimo ar paramos programos veikia pacient\u0173 sprendimus dalyvauti ir likti klinikiniuose tyrimuose. Tyr\u0117jai padar\u0117 i\u0161vad\u0105, kad logistin\u0117 parama, pavyzd\u017eiui, transporto ir susijusi\u0173 i\u0161laid\u0173 padengimas, labai padidina pacient\u0173, ypa\u010d gyvenan\u010di\u0173 kaimo vietov\u0117se arba nepakankamai aptarnaujamose vietov\u0117se, i\u0161laikymo rodiklius.<\/p>\n

\u201cPacient\u0173 paramos paslaug\u0173 poveikis pacient\u0173 i\u0161laikymui ir \u012fdarbinimui klinikiniuose tyrimuose\u201d (2021) \u0160iame tyrime, paskelbtame \u017eurnale \"Clinical Researcher\", ap\u017evelgiamos \u012fvairios paramos paslaugos, \u012fskaitant keliones, kurios gali pagerinti pacient\u0173 \u012fdarbinim\u0105 ir i\u0161laikym\u0105. Nustatyta, kad kai padengiamos kelion\u0117s i\u0161laidos, pacientai da\u017eniau lankosi suplanuotuose vizituose, o tai lemia auk\u0161tesnius i\u0161laikymo rodiklius ir geresn\u012f tyrim\u0173 protokol\u0173 laikym\u0105si.<\/p>\n

Toki\u0173 organizacij\u0173 kaip Klinikini\u0173 tyrim\u0173 pertvarkymo iniciatyva (CTTI)<\/strong> CTTI atliko tyrimus, kaip pagerinti pacient\u0173 prieig\u0105 prie klinikini\u0173 tyrim\u0173 ir j\u0173 i\u0161laikym\u0105. Kai kurios j\u0173 iniciatyvos apima finansini\u0173 ir logistini\u0173 kli\u016b\u010di\u0173, trukdan\u010di\u0173 dalyvauti tyrimuose, \u0161alinim\u0105, \u012fskaitant param\u0105 kelionei, kuri, kaip \u012frodyta, turi teigiamos \u012ftakos \u012fdarbinimui ir i\u0161laikymui.<\/p>\n

Nors FDA<\/strong> nepateikiama ai\u0161ki\u0173 rekomendacij\u0173 d\u0117l klinikini\u0173 tyrim\u0173 pacient\u0173 kelion\u0117s ir kit\u0173 i\u0161laid\u0173 kompensavimo, ta\u010diau remiamas dalyvavimo ir \u012fdarbinimo kli\u016b\u010di\u0173, \u012fskaitant logistines ir finansines, ma\u017einimas. R\u0117m\u0117jai skatinami atsi\u017evelgti \u012f pacient\u0173 patogum\u0105 ir param\u0105, kad pagerint\u0173 j\u0173 \u012fdarbinim\u0105 ir i\u0161laikym\u0105, \u012fskaitant toki\u0105 praktik\u0105 kaip kelion\u0117s i\u0161laid\u0173 kompensavimas.<\/p>\n

\u0160ie ir kiti tyrimai rodo, kad kelion\u0117s ir susijusi\u0173 i\u0161laid\u0173 padengimas padeda suma\u017einti vien\u0105 i\u0161 pagrindini\u0173 kli\u016b\u010di\u0173, trukdan\u010di\u0173 dalyvauti klinikiniuose tyrimuose, tod\u0117l pacientai geriau pritraukiami ir i\u0161laikomi.<\/p>\n

JAV Maisto ir vaist\u0173 administracija (FDA) neturi konkre\u010di\u0173 taisykli\u0173, skirt\u0173 tik klinikiniuose tyrimuose dalyvaujan\u010di\u0173 pacient\u0173 kelioni\u0173 ir i\u0161laid\u0173 kompensavimui. Ta\u010diau FDA pripa\u017e\u012fsta, kad svarbu ma\u017einti kli\u016btis dalyvauti klinikiniuose tyrimuose ir remti pacient\u0173 \u012fdarbinim\u0105 bei i\u0161laikym\u0105 juose, ypa\u010d nepakankamai aptarnaujam\u0173 gyventoj\u0173 grupi\u0173. Tai apima logistini\u0173 ir finansini\u0173 kli\u016b\u010di\u0173, pavyzd\u017eiui, kelion\u0117s i\u0161laid\u0173, \u0161alinim\u0105.<\/p>\n

\u0160tai keletas pagrindini\u0173 punkt\u0173, kurie aptariami FDA ir susijusiose gair\u0117se:<\/strong><\/span><\/h2>\n

FDA gair\u0117s d\u0117l pacient\u0173 \u012fdarbinimo ir i\u0161laikymo<\/strong><\/span><\/h2>\n

FDA ragina u\u017esakovus imtis priemoni\u0173, kurios pagerint\u0173 pacient\u0173 \u012fdarbinim\u0105 ir i\u0161laikym\u0105 klinikiniuose tyrimuose, nes pripa\u017e\u012fsta, kad pacient\u0173 dalyvavimas yra labai svarbus klinikini\u0173 tyrim\u0173 s\u0117kmei. FDA \u201cGair\u0117s pramonei: E6(R2) \u201dGera klinikin\u0117 praktika: E6(R1)\" pateikiamos bendros rekomendacijos d\u0117l pacient\u0173 gerov\u0117s, pavyzd\u017eiui, kaip suma\u017einti su dalyvavimu susijusi\u0105 rizik\u0105, kuri gali b\u016bti susijusi su logistin\u0117mis kli\u016btimis, pavyzd\u017eiui, kelion\u0117mis.
\nJame pabr\u0117\u017eiama, kad rengiant tyrim\u0173 planus reik\u0117t\u0173 atsi\u017evelgti \u012f dalyvi\u0173 patogum\u0105, kuo labiau suma\u017einti nepatogumus ir suteikti tinkam\u0105 param\u0105 pacientams.<\/p>\n

Kelion\u0117s ir finansin\u0117 parama atliekant klinikinius tyrimus<\/span><\/h2>\n

FDA nepateikia konkre\u010di\u0173 taisykli\u0173 d\u0117l kelion\u0117s i\u0161laid\u0173 kompensavimo, ta\u010diau klinikiniuose tyrimuose paprastai taikomos finansin\u0117s paskatos ir kompensuojamos nekompensuojamos i\u0161laidos, pvz., kelion\u0117s i\u0161laidos. FDA reglamente \u201cKlinikini\u0173 tyrim\u0173 tyr\u0117j\u0173 finansin\u0117s informacijos atskleidimas\u201d (21 CFR 54 dalis) reikalaujama skaidrumo d\u0117l finansini\u0173 interes\u0173 konflikt\u0173, ta\u010diau nedraud\u017eiama kompensuoti kelion\u0117s ar kit\u0173 susijusi\u0173 i\u0161laid\u0173. I\u0161 tikr\u0173j\u0173 kompensacij\u0173 teikimas laikomas veiksmingu b\u016bdu pagerinti darbuotoj\u0173 i\u0161laikym\u0105, ta\u010diau tai neturi b\u016bti nepagr\u012fsta prievarta.<\/p>\n

Etiniai aspektai ir prieiga<\/span><\/h2>\n

FDA pripa\u017e\u012fsta, kad kompensacijos ir i\u0161laid\u0173 padengimo gali prireikti siekiant padidinti klinikini\u0173 tyrim\u0173 prieinamum\u0105, ypa\u010d dalyviams, kurie susiduria su tokiomis kli\u016btimis kaip transportas. Iniciatyvoje \u201cFDA \u012f pacientus orientuotas vaist\u0173 k\u016brimas\u201d FDA ragina klinikini\u0173 tyrim\u0173 u\u017esakovus atsi\u017evelgti \u012f \u012fvairias pacient\u0173 grupes ir \u012fgyvendinti strategijas, \u012fskaitant finansin\u0119 ir logistin\u0119 param\u0105, kad b\u016bt\u0173 u\u017etikrintas platus prieinamumas.<\/p>\n

\u012e pacient\u0105 orientuotos iniciatyvos ir nauji reglamentai<\/span><\/h2>\n

FDA taip pat dalyvauja platesn\u0117se iniciatyvose, kuriomis siekiama, kad klinikiniai tyrimai b\u016bt\u0173 labiau orientuoti \u012f pacient\u0105. Tai apima pastangas naudoti lankstesnius tyrim\u0173 planus ir atsi\u017evelgti \u012f tai, kaip logistiniai veiksniai, \u012fskaitant keliones, gali paveikti pacient\u0173 dalyvavim\u0105. Pavyzd\u017eiui, pagal FDA iniciatyv\u0105 \"Real\u016bs pasaulio \u012frodymai\" (angl. Real-World Evidence, RWE) skatinama naudoti realaus pasaulio duomenis klinikiniams tyrimams papildyti, o tai gali pad\u0117ti suma\u017einti poreik\u012f pacientams keliauti didelius atstumus \u012f tyrim\u0173 vietas.<\/p>\n

Konkre\u010di\u0173, prakti\u0161kai pritaikom\u0173 gairi\u0173 u\u017esakovai gali ie\u0161koti kitose agent\u016brose, pavyzd\u017eiui, Nacionaliniame sveikatos institute (NIH) arba klinikini\u0173 tyrim\u0173 organizacijose (CRO), kurios \u0161i\u0105 praktik\u0105 da\u017enai \u012ftraukia \u012f tyrim\u0173 protokolus.<\/p>","protected":false},"excerpt":{"rendered":"

The impact of using travel and expense providers on patient retention and recruitment in clinical trials is an emerging area of interest There are some key studies and reports on this topic. Deloitte’s 2021 Global Life Sciences Outlook highlights how financial and logistical assistance can significantly enhance patient recruitment in clinical trials, especially by attracting […]<\/p>\n","protected":false},"author":1,"featured_media":6114,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[43],"tags":[],"class_list":["post-6105","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-white-papers"],"yoast_head":"\nThe impact of using travel and expense providers on patient retention and recruitment - Colpitts Clinical<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/colpittsclinical.com\/lt\/the-impact-of-using-travel-and-expense-providers-on-patient-retention-and-recruitment\/\" \/>\n<meta property=\"og:locale\" content=\"lt_LT\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"The impact of using travel and expense providers on patient retention and recruitment - Colpitts Clinical\" \/>\n<meta property=\"og:description\" content=\"The impact of using travel and expense providers on patient retention and recruitment in clinical trials is an emerging area of interest There are some key studies and reports on this topic. 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