专业药房授权对实体器官移植人群的影响。

IF 1.9 4区 医学 Q2 SURGERY
Karen Khalil, Ann Kataria, Renu Phillippupillai, Marissa Brokhof, Nicole Kenyon, Vineeta Kumar, Jeffrey Stern, Matt Harris
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引用次数: 0

摘要

专业药房授权是保险公司要求患者从特定药房获得“专业”药物的规则。本研究的目的是评估这些规定对患者护理和实体器官移植人群的影响。两份调查分发给美国移植社区实践协会(AST COPs)和国际移植护士协会(ITNS)的移植专业人员。共纳入167名受访者(n = 105 AST COPs, n = 62 ITNS)。大多数AST COP队列确定为药剂师(76%),其次是医生(13%)。ITNS队列中的大多数应答者认为他们的角色是护士/协调员(97%)。来自AST cop的62%的受访者和来自ITNS的48%的受访者报告说,在过去的12个月内,由于专业药房的授权,出院延迟。超过60%的患者描述了与这些任务相关的药物治疗启动延迟。此外,18%-34%的患者需要额外的门诊就诊和/或再入院与专业药房授权设置的药物获取问题有关。超过50%的情况下,患者自掏腰包购买药物,以便在无法撤销的情况下出院。专业药房要求延迟出院,增加成本,并对实体器官移植受者的医疗保健系统施加不适当的压力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Impact of Specialty Pharmacy Mandates on the Solid Organ Transplant Population

A specialty pharmacy mandate is a rule by insurance companies requiring patients to obtain “specialty” medications from specific pharmacies. This study's objective was to evaluate the impact of these mandates on patient care and the solid organ transplantation population. Two surveys were distributed to transplant professionals within the American Society of Transplantation Communities of Practice (AST COPs) and the International Transplant Nurses Society (ITNS). In total, 167 respondents were included (n = 105 AST COPs, n = 62 ITNS). Most of the AST COP cohort identified as pharmacists (76%), followed by physicians (13%). Most respondents from the ITNS cohort identified their role as nurse/coordinator (97%). Sixty-two percent of respondents from the AST COPs and 48% of respondents from ITNS reported delays in discharge due to specialty pharmacy mandates within the past 12 months. Over 60% described delays in initiation of drug therapy related to these mandates. Additionally, 18%–34% of patients required additional outpatient visits and/or readmissions related to medication access issues in the setting of specialty pharmacy mandates. Over 50% of the time, patients paid out of pocket for medications to allow discharge if an override was not possible. Specialty pharmacy mandates delayed discharges, increased cost, and puts undue strain on the healthcare system for solid organ transplant recipients.

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来源期刊
Clinical Transplantation
Clinical Transplantation 医学-外科
CiteScore
3.70
自引率
4.80%
发文量
286
审稿时长
2 months
期刊介绍: Clinical Transplantation: The Journal of Clinical and Translational Research aims to serve as a channel of rapid communication for all those involved in the care of patients who require, or have had, organ or tissue transplants, including: kidney, intestine, liver, pancreas, islets, heart, heart valves, lung, bone marrow, cornea, skin, bone, and cartilage, viable or stored. Published monthly, Clinical Transplantation’s scope is focused on the complete spectrum of present transplant therapies, as well as also those that are experimental or may become possible in future. Topics include: Immunology and immunosuppression; Patient preparation; Social, ethical, and psychological issues; Complications, short- and long-term results; Artificial organs; Donation and preservation of organ and tissue; Translational studies; Advances in tissue typing; Updates on transplant pathology;. Clinical and translational studies are particularly welcome, as well as focused reviews. Full-length papers and short communications are invited. Clinical reviews are encouraged, as well as seminal papers in basic science which might lead to immediate clinical application. Prominence is regularly given to the results of cooperative surveys conducted by the organ and tissue transplant registries. Clinical Transplantation: The Journal of Clinical and Translational Research is essential reading for clinicians and researchers in the diverse field of transplantation: surgeons; clinical immunologists; cryobiologists; hematologists; gastroenterologists; hepatologists; pulmonologists; nephrologists; cardiologists; and endocrinologists. It will also be of interest to sociologists, psychologists, research workers, and to all health professionals whose combined efforts will improve the prognosis of transplant recipients.
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