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药物可负担性资源的管理负担:一项环境审视及其对推进健康公平的健康信息学的启示

The administrative burden of medication affordability resources: an environmental scan with implications for health informatics to advance health equity.

作者信息

Antonio Marcy G, Swallow Jennylee, Richesson Rachel, Carethers Christine, Coe Antoinette B, Jahagirdar Divya, Huang Yung-Yi, Toscos Tammy, Flanagan Mindy, Veinot Tiffany C

机构信息

School of Information, University of Michigan, Ann Arbor, MI 48109, United States.

School of Health Information Science, University of Victoria, Victoria, BC V8W 2Y2, Canada.

出版信息

J Am Med Inform Assoc. 2025 Jul 1;32(7):1206-1218. doi: 10.1093/jamia/ocaf087.

Abstract

OBJECTIVE

To characterize and demonstrate how to reduce the administrative burden experienced by patients when navigating medication affordability resources in the United States.

MATERIALS AND METHODS

Informed by administrative burden theory, we conducted an environmental scan of medication affordability resources for atrial fibrillation, and four common comorbidities (diabetes, heart failure, hypertension, and lipid disorder). We systematically searched for resources (eg, patient assistance programs, savings cards and nonprofit support) and extracted information about types, eligibility criteria, needed documentation, and application processes.

RESULTS

We identified 66 resources across 12 categories across the five conditions. The resources' varied eligibility criteria, application processes, and requirements for providing sensitive financial documents could introduce multiple administrative costs for patients.

DISCUSSION

The volume and complexity of medication affordability resources and related application processes may create substantial administrative burden for patients that could prevent their use-especially when prescribed multiple medications.

CONCLUSION

Medication affordability resource informatics tools that reduce administrative burden could advance equitable medication access.

摘要

目的

描述并展示如何减轻美国患者在获取药物可负担性资源过程中所经历的管理负担。

材料与方法

依据管理负担理论,我们对心房颤动以及四种常见合并症(糖尿病、心力衰竭、高血压和血脂异常)的药物可负担性资源进行了环境扫描。我们系统地搜索了相关资源(如患者援助计划、优惠卡和非营利性支持),并提取了有关类型、资格标准、所需文件和申请流程的信息。

结果

我们在这五种病症中确定了12个类别的66种资源。这些资源各异的资格标准、申请流程以及提供敏感财务文件的要求可能给患者带来多种管理成本。

讨论

药物可负担性资源的数量和复杂性以及相关申请流程可能给患者造成巨大的管理负担,这可能会阻碍他们使用这些资源,尤其是在开具多种药物处方时。

结论

减轻管理负担的药物可负担性资源信息学工具可以促进药物公平可及。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/31db/12204073/460a95599d84/ocaf087f1.jpg

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