专业药房授权对固体器官移植人口的影响
Karen Khalil1, Ann Kataria2, Renu Phillippupillai3
1NYU Langone Health, Transplant Institute, New York, New York, USA.
Clinical transplantation
|September 18, 2025
概括
专业药房的任务扰乱了对实体器官移植受体的患者护理,导致治疗延迟和增加成本. 这些保险规则会对药物获取和医疗保健系统效率产生负面影响.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 药物经济学 药物经济学
- 移植医学 移植医学 移植医学
背景情况:
- 专业药房的授权要求患者使用特定的药房来购买某些药物.
- 这些任务可能会影响患者的护理,特别是在脆弱人群中,如实体器官移植接受者.
研究的目的:
- 评估专业药房授权对固体器官移植患者群体患者护理的影响.
- 评估对药物获取,治疗开始和医疗保健系统利用的影响.
主要方法:
- 在美国移植社区实践协会 (AST COPs) 和国际移植护士协会 (ITNS) 中,两项调查分发给了移植专业人士.
- 共有167名受访者 (105名AST COP,62名ITNS) 参与了调查,其中包括药剂师,医生和护士/协调员.
主要成果:
- 62%的AST COP和48%的ITNS受访者报告说,由于专业药房的任务而导致放药延迟.
- 超过60%的患者在开始药物治疗时出现延迟,18%-34%的患者经历了再入院或额外访问以获得药物治疗.
- 超过50%的患者自费购买药物,以便在无法覆盖的情况下方便出院.
结论:
- 专业药房的任务导致固体器官移植患者出院和开始治疗的重大延迟.
- 这些任务增加了患者的成本,并对医疗保健系统造成了不必要的压力.
- 需要进行政策评估,以减轻对移植患者护理和结果的负面影响.
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