Richardson Terry, Vickery Brian P, Gupta Ruchi, Goldstein Fred, Kobernick Michael, Chan Vivien, Wescott Susan, Gandhi Gaurang, Winders Tonya
Impact Education, LLC, Blue Bell, PA.
Emory University & Children's Healthcare of Atlanta, GA.
J Manag Care Spec Pharm. 2024 Aug;30(8-a Suppl):S1-S10. doi: 10.18553/jmcp.2024.30.8-a.s1.
AMCP convened a panel of clinical and managed care experts to identify insights regarding the prevalence, clinical manifestations, and management approaches for immunoglobulin E-mediated food allergies. This article aims to summarize expert perspectives on health care system challenges and areas of agreement concerning the management of food allergies, and to advance payers' understanding of their role in supporting health care for patients with food allergies. Food allergy management requires dietary modification and is associated with significant patient and caregiver burdens. Emerging therapies provide hope for those living with food allergies but will likely lead to a rise in health plan pharmacy expenses. In considering the value of new treatments, it is important to consider the total cost of care and the value of preventing anaphylaxis and enhancing the patient's quality of life. Several challenges remain in identifying the appropriate patient population for treatment with newer agents and in optimizing treatment outcomes. Addressing health disparities will require standardized clinical protocols, better access to specialized allergy care, and management of comorbid conditions.
美国医学成本效益协会召集了一个由临床和管理式医疗专家组成的小组,以确定关于免疫球蛋白E介导的食物过敏的患病率、临床表现和管理方法的见解。本文旨在总结专家对医疗保健系统挑战以及食物过敏管理方面的共识观点,并增进支付方对其在支持食物过敏患者医疗保健中所扮演角色的理解。食物过敏管理需要饮食调整,且给患者和护理人员带来了巨大负担。新兴疗法为食物过敏患者带来了希望,但可能会导致健康计划药房费用增加。在考虑新疗法的价值时,重要的是要考虑护理总成本以及预防过敏反应和提高患者生活质量的价值。在确定适合使用新型药物治疗的患者群体以及优化治疗效果方面仍存在一些挑战。解决健康差异需要标准化的临床方案、更好地获得专业过敏护理以及对合并症的管理。