Specialist physician perspectives on non-medical switching of prescription medications
Introduction: A non-medical switch is a change to a patient’s medication regimen for reasons other than lack of clinical response, side-effects or poor adherence. Specialist physicians treat complex patients who may be vulnerable to non-medical switching. Objectives: To evaluate specialist physician...
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| Format: | Article |
| Language: | English |
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MDPI AG
2020-01-01
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| Series: | Journal of Market Access & Health Policy |
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| Online Access: | http://dx.doi.org/10.1080/20016689.2020.1738637 |
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| author | Olivia S. Costa Tabassum Salam Amy Duhig Aarti A. Patel Ann Cameron Jennifer Voelker Brahim Bookhart Craig I. Coleman |
| author_facet | Olivia S. Costa Tabassum Salam Amy Duhig Aarti A. Patel Ann Cameron Jennifer Voelker Brahim Bookhart Craig I. Coleman |
| author_sort | Olivia S. Costa |
| collection | DOAJ |
| description | Introduction: A non-medical switch is a change to a patient’s medication regimen for reasons other than lack of clinical response, side-effects or poor adherence. Specialist physicians treat complex patients who may be vulnerable to non-medical switching. Objectives: To evaluate specialist physicians’ perceptions regarding the frequency of non-medical switch requests, and the impact on their patients’ outcomes and healthcare utilization. Methods: An online survey of randomly sampled physicians spending ≥10% of time providing patient care and having received ≥1 non-medical switch request during the prior 12-months. Results: Among 404 specialist physicians surveyed, non-medical switch requests were reported as very frequent or frequent by 35.0% of oncologists (for injectable cancer agents) and up to 80.3% of endocrinologists (for injectable anti-hyperglycemics). Respondents reported decreased medication effectiveness (25.0% of oncologists to 75.0% of dermatologists) and increased side-effects (32.5% of oncologists to 66.7% of psychiatrists). Most specialists reported very frequent or frequent increases in non-office visits (52.5% of oncologists to 75.3% of endocrinologists) and calls with pharmacies (57.5% of oncologists to 80.5% of rheumatologists) due to non-medical switching. Conclusions: Receipt of non-medical switching requests were common among specialist physicians. Non-medical switching may lead to negative effects on patient care and require increased healthcare utilization. |
| format | Article |
| id | doaj-art-58ec64ba0f254f3eba93cb14723ed7dd |
| institution | Kabale University |
| issn | 2001-6689 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Market Access & Health Policy |
| spelling | doaj-art-58ec64ba0f254f3eba93cb14723ed7dd2025-08-20T03:34:44ZengMDPI AGJournal of Market Access & Health Policy2001-66892020-01-018110.1080/20016689.2020.17386371738637Specialist physician perspectives on non-medical switching of prescription medicationsOlivia S. Costa0Tabassum Salam1Amy Duhig2Aarti A. Patel3Ann Cameron4Jennifer Voelker5Brahim Bookhart6Craig I. Coleman7University of ConnecticutAmerican College of PhysiciansXcendaJanssen Scientific Affairs, LLCXcendaJanssen Scientific Affairs, LLCJanssen Scientific Affairs, LLCUniversity of ConnecticutIntroduction: A non-medical switch is a change to a patient’s medication regimen for reasons other than lack of clinical response, side-effects or poor adherence. Specialist physicians treat complex patients who may be vulnerable to non-medical switching. Objectives: To evaluate specialist physicians’ perceptions regarding the frequency of non-medical switch requests, and the impact on their patients’ outcomes and healthcare utilization. Methods: An online survey of randomly sampled physicians spending ≥10% of time providing patient care and having received ≥1 non-medical switch request during the prior 12-months. Results: Among 404 specialist physicians surveyed, non-medical switch requests were reported as very frequent or frequent by 35.0% of oncologists (for injectable cancer agents) and up to 80.3% of endocrinologists (for injectable anti-hyperglycemics). Respondents reported decreased medication effectiveness (25.0% of oncologists to 75.0% of dermatologists) and increased side-effects (32.5% of oncologists to 66.7% of psychiatrists). Most specialists reported very frequent or frequent increases in non-office visits (52.5% of oncologists to 75.3% of endocrinologists) and calls with pharmacies (57.5% of oncologists to 80.5% of rheumatologists) due to non-medical switching. Conclusions: Receipt of non-medical switching requests were common among specialist physicians. Non-medical switching may lead to negative effects on patient care and require increased healthcare utilization.http://dx.doi.org/10.1080/20016689.2020.1738637non-medical switchoutcome assessmentspecializationtherapeutic interchange |
| spellingShingle | Olivia S. Costa Tabassum Salam Amy Duhig Aarti A. Patel Ann Cameron Jennifer Voelker Brahim Bookhart Craig I. Coleman Specialist physician perspectives on non-medical switching of prescription medications Journal of Market Access & Health Policy non-medical switch outcome assessment specialization therapeutic interchange |
| title | Specialist physician perspectives on non-medical switching of prescription medications |
| title_full | Specialist physician perspectives on non-medical switching of prescription medications |
| title_fullStr | Specialist physician perspectives on non-medical switching of prescription medications |
| title_full_unstemmed | Specialist physician perspectives on non-medical switching of prescription medications |
| title_short | Specialist physician perspectives on non-medical switching of prescription medications |
| title_sort | specialist physician perspectives on non medical switching of prescription medications |
| topic | non-medical switch outcome assessment specialization therapeutic interchange |
| url | http://dx.doi.org/10.1080/20016689.2020.1738637 |
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