Exploring healthcare providers’ experiences with specialty medication and limited distribution networks

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 IH...

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Main Authors: Megan E. Peter, Autumn D. Zuckerman, Elizabeth Cherry, David G. Schlundt, Kemberlee Bonnet, Nisha Shah, Tara N. Kelley
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2022-01-01
Series:PLoS ONE
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9377589/?tool=EBI
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author Megan E. Peter
Autumn D. Zuckerman
Elizabeth Cherry
David G. Schlundt
Kemberlee Bonnet
Nisha Shah
Tara N. Kelley
author_facet Megan E. Peter
Autumn D. Zuckerman
Elizabeth Cherry
David G. Schlundt
Kemberlee Bonnet
Nisha Shah
Tara N. Kelley
author_sort Megan E. Peter
collection DOAJ
description 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.
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spelling doaj.art-627f35e2017047ef809dba319602e9ed2022-12-22T03:44:50ZengPublic Library of Science (PLoS)PLoS ONE1932-62032022-01-01178Exploring healthcare providers’ experiences with specialty medication and limited distribution networksMegan E. PeterAutumn D. ZuckermanElizabeth CherryDavid G. SchlundtKemberlee BonnetNisha ShahTara N. KelleyIntegrated 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.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9377589/?tool=EBI
spellingShingle Megan E. Peter
Autumn D. Zuckerman
Elizabeth Cherry
David G. Schlundt
Kemberlee Bonnet
Nisha Shah
Tara N. Kelley
Exploring healthcare providers’ experiences with specialty medication and limited distribution networks
PLoS ONE
title Exploring healthcare providers’ experiences with specialty medication and limited distribution networks
title_full Exploring healthcare providers’ experiences with specialty medication and limited distribution networks
title_fullStr Exploring healthcare providers’ experiences with specialty medication and limited distribution networks
title_full_unstemmed Exploring healthcare providers’ experiences with specialty medication and limited distribution networks
title_short Exploring healthcare providers’ experiences with specialty medication and limited distribution networks
title_sort exploring healthcare providers experiences with specialty medication and limited distribution networks
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9377589/?tool=EBI
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