确定莱纳利多米德获取的健康差异
Ngan N Nguyen1, Justin P Huynh1,2, Jenna J Wu1,2
1Rhode Island Hospital, Brown University Health, Providence, RI, USA.
概括
列纳利多米德处方平均需要8天才能完成. 需要经济援助的患者面临更长的延迟,这凸显了保险和健康差异如何影响获得这种癌症药物的机会.
科学领域:
- 在瘤学瘤学.
- 血液学 血液学 血液学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 由于分布有限,风险评估和缓解策略 (REMS) 和保险障碍,莱纳利多米德的获取变得复杂.
- 诸如社会经济地位,健康素养,语言和地理等健康差异可能会阻碍及时获得莱纳利多米德.
- 了解这些障碍对于改善患者获得必要的癌症疗法至关重要.
研究的目的:
- 识别和分析导致延迟莱纳利多米德处方履行的因素.
- 从健康公平的角度来研究lenalidomide的获取.
- 为了确定从处方生成到莱纳利多米德处方的中位时间.
主要方法:
- 使用来自布朗大学卫生系统的电子健康记录进行的回顾性研究 (2019年6月 - 2024年6月).
- 纳入标准:成年人患有新的血液性恶性瘤,处方莱纳利多米德.
- 逐步的多重线性回归分析,以确定与处方时间相关的因素.
主要成果:
- 总共分析了328名患者 (平均年龄为71岁,53%是男性,80%是白人).
- 54%的患者需要财政援助,这与延迟的利那利多米德开药 (P <0.05) 有显著的关联.
- 从处方到处方的中位时间为8天 (IQR,5-14天).
结论:
- 列纳利多米德处方的中位填充时间为8天.
- 财政援助需求与莱纳利多米德获取延长时间的延误有关.
- 保险流程和现有的健康差异显著阻碍了血液恶性瘤患者及时获得利那利多米德的机会.
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