Title |
Oral Chemotherapy in Patients with Hematological Malignancies—Care Process, Pharmacoeconomic and Policy Implications
|
---|---|
Published in |
Current Hematologic Malignancy Reports, April 2016
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DOI | 10.1007/s11899-016-0325-2 |
Pubmed ID | |
Authors |
Jeffrey Betcher, Elizabeth Dow, Nandita Khera |
Abstract |
Patients with hematologic malignancies are increasing being prescribed oral anticancer medications (OAMs) and/or biologics. These newer targeted OAMs are associated with a host of practical and pharmacoeconomic implications for patients and healthcare providers. Issues such as safety, procurement challenges, and the need for proactive involvement of all stakeholders to optimize adherence for successful use of these agents are increasingly being recognized. The current reactive model is negatively impacting the patient experience through delays in care, financial toxicity, and decreased safety. It also impacts the healthcare providers in the form of lost revenue and staff burnout due to labor-intensive procurement and patient financial assistance burdens. In this review, we describe some of the issues identified and discuss potential strategies to improve patient access, minimize healthcare burden, and review current policy initiatives and patient advocacy efforts to reduce financial toxicity. |
X Demographics
Geographical breakdown
Country | Count | As % |
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Spain | 3 | 38% |
Venezuela, Bolivarian Republic of | 1 | 13% |
Unknown | 4 | 50% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 6 | 75% |
Practitioners (doctors, other healthcare professionals) | 2 | 25% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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Unknown | 41 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
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Researcher | 8 | 20% |
Student > Master | 6 | 15% |
Lecturer | 4 | 10% |
Student > Doctoral Student | 4 | 10% |
Student > Ph. D. Student | 4 | 10% |
Other | 7 | 17% |
Unknown | 8 | 20% |
Readers by discipline | Count | As % |
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Medicine and Dentistry | 10 | 24% |
Nursing and Health Professions | 7 | 17% |
Pharmacology, Toxicology and Pharmaceutical Science | 5 | 12% |
Psychology | 2 | 5% |
Mathematics | 1 | 2% |
Other | 5 | 12% |
Unknown | 11 | 27% |