Safe practices and financial considerations in using oral chemotherapeutic agents
Safe practices and financial considerations in using oral chemotherapeutic agents
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DOI：
10.2146/ajhp070036
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发表时间：
2007-05-01
影响因子：
2.7
通讯作者：
Bartel, Sylvia B.
中科院分区：
文献类型：
--
作者：
Bartel, Sylvia B.
目的。讨论了非传统环境下口服化疗的安全处理方法和财务问题。口服化疗可能会给患者带来风险，因为治疗指数狭窄，给药方案复杂，由社区药剂师配药而无需肿瘤药剂师或护士审查处方单，或在家中或其他非传统环境中自行给药，患者监测很少。处方、配药和给药中的错误以及患者或护理人员的误解是使用口服化疗的潜在问题，需要在制定安全做法时加以解决。医疗保险药品报销率和规则的变化需要监测，因为它们有可能影响患者的护理和结果。患者援助计划和倡导团体可以帮助减轻与口服化疗相关的经济问题。需要制定关于在家庭或其他非传统环境中安全处理口服化疗的共识指南。此外，医疗保健提供者必须了解报销，并在患者援助计划或倡导团体可以帮助解决口服化疗的财务挑战时为患者提供指导。
Purpose. Safe handling practices and financial concerns associated with oral chemotherapy in non-traditional settings are discussed.Summary. Oral chemotherapy may pose a risk to patients because of a narrow therapeutic index, complex dosing regimen, dispensing by community pharmacists without prescription order review by an oncology pharmacist or nurse, or self-administration in the home or another nontraditional setting, where patient monitoring is infrequent. Errors in prescribing, dispensing, and administration and patient or caregiver misunderstandings are potential problems with the use of oral chemotherapy that need to be addressed when developing safe practices. Changes in Medicare pharmaceutical reimbursement rates and rules need to be monitored because they have the potential to affect patient care and outcomes. Patient assistance programs and advocacy groups can help alleviate financial concerns associated with oral chemotherapy.Conclusion. Consensus guidelines specific to safe handling of oral chemotherapy in the home or other nontraditional setting need to be developed. Also, healthcare providers must understand reimbursement and provide direction to patients when patient assistance programs or advocacy groups can assist with the financial challenges of oral chemotherapy.