Terry Richardson, Brian P Vickery, Ruchi Gupta, Fred Goldstein, Michael Kobernick, Vivien Chan, Susan Wescott, Gaurang Gandhi, Tonya Winders
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引用次数: 0
摘要
AMCP 召集了一个由临床和管理性医疗专家组成的小组,以确定有关免疫球蛋白 E 介导的食物过敏的患病率、临床表现和管理方法的见解。本文旨在总结专家们对医疗保健系统在食物过敏管理方面所面临的挑战和达成一致的领域的观点,并促进支付者了解他们在支持食物过敏患者医疗保健方面所扮演的角色。食物过敏管理需要改变饮食习惯,并给患者和护理人员带来沉重负担。新兴疗法为食物过敏患者带来了希望,但也可能导致医疗计划药房费用的增加。在考虑新疗法的价值时,重要的是要考虑护理的总成本以及预防过敏性休克和提高患者生活质量的价值。在确定接受新药治疗的适当患者人群和优化治疗效果方面仍存在一些挑战。要解决健康差异问题,就必须制定标准化的临床方案、更好地提供专门的过敏护理以及对合并症进行管理。
Navigating the landscape of food allergies: Insights and perspectives from the AMCP Market Insights Program.
AMCP convened a panel of clinical and managed care experts to identify insights regarding the prevalence, clinical manifestations, and management approaches for immunoglobulin E-mediated food allergies. This article aims to summarize expert perspectives on health care system challenges and areas of agreement concerning the management of food allergies, and to advance payers' understanding of their role in supporting health care for patients with food allergies. Food allergy management requires dietary modification and is associated with significant patient and caregiver burdens. Emerging therapies provide hope for those living with food allergies but will likely lead to a rise in health plan pharmacy expenses. In considering the value of new treatments, it is important to consider the total cost of care and the value of preventing anaphylaxis and enhancing the patient's quality of life. Several challenges remain in identifying the appropriate patient population for treatment with newer agents and in optimizing treatment outcomes. Addressing health disparities will require standardized clinical protocols, better access to specialized allergy care, and management of comorbid conditions.
期刊介绍:
JMCP welcomes research studies conducted outside of the United States that are relevant to our readership. Our audience is primarily concerned with designing policies of formulary coverage, health benefit design, and pharmaceutical programs that are based on evidence from large populations of people. Studies of pharmacist interventions conducted outside the United States that have already been extensively studied within the United States and studies of small sample sizes in non-managed care environments outside of the United States (e.g., hospitals or community pharmacies) are generally of low interest to our readership. However, studies of health outcomes and costs assessed in large populations that provide evidence for formulary coverage, health benefit design, and pharmaceutical programs are of high interest to JMCP’s readership.