J Natl Compr Canc Netw. 2010 Jul;8 Suppl 4:S1-12. doi: 10.6004/jnccn.2010.0127.
The use of specialty pharmacies is expanding in oncology pharmacy practice. Specialty pharmacies provide a channel for distributing drugs that, from the payor perspective, creates economies of scale and streamlines the delivery of expensive drugs. Proposed goals of specialty pharmacy include optimization of pharmaceutical care outcomes through ensuring appropriate medication use and maximizing adherence, and optimization of economic outcomes through avoiding unwarranted drug expenditure. In oncology practice, specialty pharmacies have become a distribution channel for various agents. The use of a specialty pharmacy, and the addition of the pharmacist from the specialty pharmacy to the health care team, may not only provide benefits for care but also present challenges in oncology practice. The NCCN Specialty Pharmacy Task Force met to identify and examine the impact of specialty pharmacy practice on the care of people with cancer, and to provide recommendations regarding issues discussed. This report provides recommendations within the following categories: education and training of specialty pharmacy practitioners who care for individuals with cancer, coordination of care, and patient safety. Areas for further evaluation are also identified.
专业药房在肿瘤药学实践中的使用正在扩大。专业药房为支付者提供了一种分发药物的渠道，从支付者的角度来看，这创造了规模经济，并简化了昂贵药物的配送。专业药房的目标包括通过确保适当的药物使用和最大限度地提高依从性来优化药物治疗结果，并通过避免不必要的药物支出来优化经济结果。在肿瘤学实践中，专业药房已成为各种药物的一种分发渠道。使用专业药房，以及让专业药房的药剂师加入医疗团队，不仅可能为治疗提供益处，而且还可能给肿瘤学实践带来挑战。NCCN 专业药房工作组开会确定并检查专业药房实践对癌症患者护理的影响，并就讨论的问题提供建议。本报告在以下类别中提供了建议：为照顾癌症患者的专业药房从业者提供教育和培训、协调护理以及患者安全。还确定了进一步评估的领域。
