PMID- 35969591
OWN - NLM
STAT- MEDLINE
DCOM- 20220817
LR  - 20220906
IS  - 1932-6203 (Electronic)
IS  - 1932-6203 (Linking)
VI  - 17
IP  - 8
DP  - 2022
TI  - Exploring healthcare providers' experiences with specialty medication and limited 
      distribution networks.
PG  - e0273040
LID - 10.1371/journal.pone.0273040 [doi]
LID - e0273040
AB  - Integrated health-system specialty pharmacies (IHSSP) have shown high medication 
      access, adherence, and provider satisfaction. The goal of this study was to 
      explore healthcare providers' experiences with specialty medications distributed 
      via Limited Distribution Networks (LDN) that do not include IHSSPs. We 
      investigated healthcare providers' perceived impact of LDNs on clinic workflow, 
      clinical practice, and patient outcomes. Interviews and focus groups were 
      conducted with fourteen healthcare providers from four outpatient specialty 
      clinics at an academic health system with an IHSSP. Qualitative analysis using an 
      iterative inductive/deductive approach of coded transcripts was used to identify 
      themes. Participants discussed requirements and barriers to communicating with 
      insurance providers, drug manufacturers, and external pharmacies; time and effort 
      required to navigate LDNs and impact on workload and clinic workflow; financial 
      awareness of medication costs and methods for communication about financial 
      information with patients; and advocating for patients to ensure access to 
      necessary therapy and avoid missed doses or treatment lapse. Participants 
      reported barriers to navigating LDNs that can interfere with clinic workflow and 
      patient care. IHSSPs may reduce clinic burden by helping patients access, afford, 
      and remain on therapy.
FAU - Peter, Megan E
AU  - Peter ME
AD  - Department of Pharmaceutical Services, Vanderbilt University Medical Center, 
      Nashville, Tennessee, United States of America.
FAU - Zuckerman, Autumn D
AU  - Zuckerman AD
AUID- ORCID: 0000-0002-8376-0691
AD  - Department of Pharmaceutical Services, Vanderbilt University Medical Center, 
      Nashville, Tennessee, United States of America.
FAU - Cherry, Elizabeth
AU  - Cherry E
AD  - Department of Pharmaceutical Services, Vanderbilt University Medical Center, 
      Nashville, Tennessee, United States of America.
FAU - Schlundt, David G
AU  - Schlundt DG
AD  - Department of Psychology, Vanderbilt University, Nashville, Tennessee, United 
      States of America.
FAU - Bonnet, Kemberlee
AU  - Bonnet K
AD  - Department of Psychology, Vanderbilt University, Nashville, Tennessee, United 
      States of America.
FAU - Shah, Nisha
AU  - Shah N
AD  - Department of Pharmaceutical Services, Vanderbilt University Medical Center, 
      Nashville, Tennessee, United States of America.
FAU - Kelley, Tara N
AU  - Kelley TN
AD  - Department of Pharmaceutical Services, Vanderbilt University Medical Center, 
      Nashville, Tennessee, United States of America.
LA  - eng
PT  - Journal Article
DEP - 20220815
PL  - United States
TA  - PLoS One
JT  - PloS one
JID - 101285081
SB  - IM
MH  - *Attitude of Health Personnel
MH  - Focus Groups
MH  - *Health Personnel
MH  - Humans
MH  - Patient Care
MH  - Qualitative Research
PMC - PMC9377589
COIS- The authors have declared that no competing interests exist.
EDAT- 2022/08/16 06:00
MHDA- 2022/08/18 06:00
PMCR- 2022/08/15
CRDT- 2022/08/15 13:34
PHST- 2021/09/03 00:00 [received]
PHST- 2022/08/01 00:00 [accepted]
PHST- 2022/08/15 13:34 [entrez]
PHST- 2022/08/16 06:00 [pubmed]
PHST- 2022/08/18 06:00 [medline]
PHST- 2022/08/15 00:00 [pmc-release]
AID - PONE-D-21-28656 [pii]
AID - 10.1371/journal.pone.0273040 [doi]
PST - epublish
SO  - PLoS One. 2022 Aug 15;17(8):e0273040. doi: 10.1371/journal.pone.0273040. 
      eCollection 2022.