Eligibility and Accessibility Barriers of Patient Assistance Programs for Oral Oncolytics in Patients With Cancer.

IF 1.2 4区 医学 Q3 NURSING Clinical journal of oncology nursing Pub Date : 2025-01-17 DOI:10.1188/25.CJON.79-85
Emma Nunley, Ashley Martinez, Joyce E Dains
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Abstract

Background: The out-of-pocket cost of oral oncolytics led to the creation of patient assistance programs (PAPs) as an intervention to mitigate financial toxicity. Despite these programs, eligibility and accessibility barriers may disqualify patients from receiving financial assistance for prescribed oral oncolytics.

Objectives: The objective of this integrative review was to identify eligibility and accessibility barriers related to PAPs.

Methods: A comprehensive search was conducted in PubMed® and Ovid® databases for articles published from January 2014 through December 2023. Five articles were included in the review.

Findings: Eligibility and accessibility barriers of PAPs include insurance status, income ceilings, out-of-pocket costs, and prescription-to-initiation timeline delays. Overall, findings were mixed on what would qualify a patient for a PAP. Transparency from PAPs and the use of pharmacy-based interventions for PAPs can help clinicians efficiently prescribe oral oncolytics.

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癌症患者口服溶瘤药物患者援助计划的资格和可及性障碍。
背景:口服溶瘤药物的自付费用导致了患者援助计划(pap)的创建,作为减轻财务毒性的干预措施。尽管有这些项目,但资格和可及性障碍可能使患者无法获得处方口服肿瘤药物的经济援助。目的:本综合综述的目的是确定与pap相关的资格和可及性障碍。方法:在PubMed®和Ovid®数据库中全面检索2014年1月至2023年12月发表的文章。5篇文章被纳入综述。研究结果:pap的资格和可及性障碍包括保险状况、收入上限、自付费用和从处方到启动时间表的延迟。总的来说,关于什么是患者有资格进行PAP的研究结果是混合的。pap的透明度和使用基于药物的干预措施可以帮助临床医生有效地开口服溶瘤药。
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来源期刊
CiteScore
1.70
自引率
9.10%
发文量
127
审稿时长
6-12 weeks
期刊介绍: The Clinical Journal of Oncology Nursing (CJON) is an official publication of the Oncology Nursing Society (ONS) and is directed to the practicing nurse specializing in the care of patients with an actual or potential diagnosis of cancer. CJON is a vehicle to promote the mission of ONS, which is to advance excellence in oncology nursing and quality cancer care. The CJON mission is twofold: to provide practical information necessary to care for patients and their families across the cancer continuum and to develop publication skills in oncology nurses.
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