一个描述性的调查患者的经验和获得专用药物的机会与替代资金计划的替代资金计划
William B Wong1, Irina Yermilov2, Hannah Dalglish2
1Genentech, Inc., South San Francisco, CA.
Journal of managed care & specialty pharmacy
|October 29, 2024
概括
使用替代资金计划 (AFPs) 购买特种药物的患者经常面临重大延迟和不适,影响他们的健康和就业. 这些计划旨在降低成本,但由于药物获取问题,可能导致压力和情况恶化.
科学领域:
- 卫生经济学 卫生经济学
- 患者倡导 患者倡导
- 药品接入 药品接入 药品接入
背景情况:
- 替代性资金计划 (AFPs) 是医疗计划赞助商利用的,以潜在地降低成本.
- 这些计划往往涉及将特殊药物从标准保险中排除在外,并通过第三方供应商将患者重定向到制造商辅助计划.
研究的目的:
- 通过AFP调查患者的经验和在通过AFP获得专用药物的挑战.
主要方法:
- 从在线患者小组和倡导小组中招募的227名患者进行了一项调查.
- 该调查评估了对AFP的认识,供应商管理的患者援助计划的经验,药物获取的及时性以及延迟对健康的影响.
主要成果:
- 大多数患者在寻求药物时了解了AFP,88%的患者因被拒绝覆盖而感到压力.
- 患者报告平均等待68天的药物,其中24%的情况恶化,64%报告增加了压力.
- 经历延迟的患者更快地考虑改变工作; 患有出血障碍的患者不经常获得药物.
结论:
- 患者经常报告AFP的不适和治疗延迟,可能会影响疾病进展和精神健康.
- 雇主应考虑AFP对员工健康,员工留守以及员工与雇主的整体关系的影响.
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