综合特种药店努力避免口服抗癌药物废弃物的财务影响
Brooke Looney1, Jared Crumb1, Stephanie White1
1Vanderbilt Specialty Pharmacy, Vanderbilt Health System, Nashville, TN.
Journal of managed care & specialty pharmacy
|May 3, 2024
概括
专业药剂师可以减少口服抗癌药物的浪费和成本,通过在补充处方之前审查患者的药物供应和即将到来的后续预约. 这种策略可以避免在昂贵的癌症疗法上不必要的支出.
科学领域:
- 瘤学 药房 实践
- 卫生经济学 卫生经济学
- 药物管理 药物管理
背景情况:
- 口服抗癌药物占医疗保健开支的很大一部分,对患者来说可能很昂贵.
- 对口服抗癌药物的频繁治疗调整往往导致药物浪费.
- 实施尽量减少浪费的策略可以减少患者和付款人的财务负担.
研究的目的:
- 评估审查患者药物库存和即将到来的后续预约对口服抗癌药物的浪费和成本避免的影响.
- 评估综合卫生系统专业药房补充更新流程的有效性.
主要方法:
- 对接受专业药房分发的口服抗癌药物的患者进行了回顾性审查.
- 专业药剂师在处理补充请求之前审查了患者记录以确定药物的适当性和供应.
- 如果患者有足够的药物,则重新补充的更新将被推迟到预定的随访 (例如,提供者访问,实验室测试,成像).
主要成果:
- 推迟补充续期导致大幅节省成本,在12个月内从549,187.03美元到751,994.99美元不等.
- 只有2%的延期更新中药物继续不变,56%的延期更新中药物继续不变,32%的剂量改变,10%的剂量保持或改变.
- 补充更新在159例中被推迟,对135名独特的患者来说.
结论:
- 专门的药剂师干预审查药物供应和后续时间表,有效地减少与口服抗癌药物相关的浪费和成本.
- 在综合卫生系统中,这种主动的方法优化了药物使用和财务管理.
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