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Physicians' attitudes towards accelerated access to medicines.
Jessica Pace1, Ian Kerridge1, Sallie Pearson2
1Sydney Health Ethics, University of Sydney, Medical Foundation Building (K25), Sydney, New South Wales, Australia.
Health Economics, Policy, and Law
|November 1, 2019
Summary
Physicians hold diverse views on accelerated access schemes for new medicines. Understanding these perspectives is crucial for balancing patient access with safety and ethical considerations in healthcare policy.
Area of Science:
- Health policy
- Pharmaceutical regulation
- Clinical practice
Background:
- Accelerated access schemes aim to speed up medicine availability for patients with unmet needs.
- Physicians play a key role in patient access to medicines, acting as gatekeepers and guides.
- Understanding physician perspectives is vital for effective implementation of these schemes.
Purpose of the Study:
- To explore Australian physicians' attitudes towards accelerated access schemes.
- To identify different physician archetypes regarding accelerated access.
- To inform policy and practice related to medicine access pathways.
Main Methods:
- Conducted semi-structured interviews with 18 Australian physicians.
- Focused on physicians' views on accelerated access to medicines.
- Analyzed interview data to identify distinct physician perspectives.
Main Results:
- Identified three physician archetypes: 'confident accelerators', 'cautious accelerators', and 'decelerators'.
- Physicians acknowledged risks and benefits but disagreed on their balance.
- Varied opinions exist on managing accelerated access in policy and clinical settings.
Conclusions:
- Physician opinions on accelerated access schemes are diverse.
- Monitoring prescribing and clinical outcomes is essential for accelerated access programs.
- Ensuring clinical and moral acceptability requires understanding physician viewpoints.
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