In:
PLOS ONE, Public Library of Science (PLoS), Vol. 17, No. 8 ( 2022-8-15), p. e0273040-
Abstract:
Integrated health-system specialty pharmacies (IHSSP) have shown high medication access, adherence, and provider satisfaction. The goal of this study was to explore healthcare providers’ experiences with specialty medications distributed via Limited Distribution Networks (LDN) that do not include IHSSPs. We investigated healthcare providers’ perceived impact of LDNs on clinic workflow, clinical practice, and patient outcomes. Interviews and focus groups were conducted with fourteen healthcare providers from four outpatient specialty clinics at an academic health system with an IHSSP. Qualitative analysis using an iterative inductive/deductive approach of coded transcripts was used to identify themes. Participants discussed requirements and barriers to communicating with insurance providers, drug manufacturers, and external pharmacies; time and effort required to navigate LDNs and impact on workload and clinic workflow; financial awareness of medication costs and methods for communication about financial information with patients; and advocating for patients to ensure access to necessary therapy and avoid missed doses or treatment lapse. Participants reported barriers to navigating LDNs that can interfere with clinic workflow and patient care. IHSSPs may reduce clinic burden by helping patients access, afford, and remain on therapy.
Type of Medium:
Online Resource
ISSN:
1932-6203
DOI:
10.1371/journal.pone.0273040
DOI:
10.1371/journal.pone.0273040.t001
DOI:
10.1371/journal.pone.0273040.s001
DOI:
10.1371/journal.pone.0273040.s002
DOI:
10.1371/journal.pone.0273040.s003
DOI:
10.1371/journal.pone.0273040.s004
DOI:
10.1371/journal.pone.0273040.s005
DOI:
10.1371/journal.pone.0273040.s006
DOI:
10.1371/journal.pone.0273040.s007
DOI:
10.1371/journal.pone.0273040.r001
DOI:
10.1371/journal.pone.0273040.r002
DOI:
10.1371/journal.pone.0273040.r003
DOI:
10.1371/journal.pone.0273040.r004
DOI:
10.1371/journal.pone.0273040.r005
DOI:
10.1371/journal.pone.0273040.r006
Language:
English
Publisher:
Public Library of Science (PLoS)
Publication Date:
2022
detail.hit.zdb_id:
2267670-3
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