评估瘤医疗服务提供者对非配方药的态度和做法,并绘制沙特阿拉伯当前障碍的地图
Nora Alkhudair1, Abdullah A Alhifany2, Basha Alsubaie1
1Clinical Pharmacy Department, College of Pharmacy, King Saud University, Riyadh, Saudi Arabia.
概括
沙特阿拉伯的瘤医疗服务提供商处理非表单药物 (NFD) 请求是漫长的,导致显著的延迟和影响患者护理. 建议制定国家NFD获取计划,以改善及时获取必要的癌症药物.
科学领域:
- 在瘤学瘤学.
- 药物经济学 药物经济学
- 医疗保健管理的管理
背景情况:
- 单式药物清单优化了药物的安全性,有效性和成本效益.
- 非配方药 (NFD) 是不包括在配方药中的药物,通常是由于成本或临床数据不足.
- 了解NFD请求的处理对于确保患者及时获得必要治疗至关重要.
研究的目的:
- 检查沙特阿拉伯的瘤学提供者处理非表单药物 (NFD) 请求的情况.
- 确定NFD请求流程中的变化,NFD的原因和挑战.
- 为改进,统一的NFD请求算法收集建议.
主要方法:
- 在沙特瘤中心进行了横截面调查.
- 医疗保健从业者,主要是瘤药剂师和医生,提供了关于NFD和请求流程的观点.
- 收集了处理时间,障碍和对患者护理的影响的数据.
主要成果:
- 对于59.2%的受访者来说,NFD请求的决定需要1-4周,整个过程通常需要2-4个月.
- 采购延迟和漫长的处理时间是最常见的障碍.
- 形式限制阻碍了26.9%的护理,延迟了40.3%的患者护理,导致了33.8%的药物使用效率较低,并导致了22.1%的息治疗转诊.
结论:
- 目前的非配方药 (NFD) 获取实践对癌症患者的结果产生负面影响.
- 患者护理的延迟和非最佳疗法的使用是严重的后果.
- 建议制定国家NFD获取计划,以改善及时和公平获取癌症药物.
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