دورية أكاديمية
Community Health Center 340B Program: A Qualitative Study of the Experiences of Patients with Diabetes.
| العنوان: | Community Health Center 340B Program: A Qualitative Study of the Experiences of Patients with Diabetes. |
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| المؤلفون: | Wagner AA; PrimaryOne Health., Whitner JB; PrimaryOne Health., Williams AC; PrimaryOne Health., Hirt KL; PrimaryOne Health., Miracle TL; PrimaryOne Health., Valentino AS; PrimaryOne Health.; The Ohio State University, College of Pharmacy. |
| المصدر: | Innovations in pharmacy [Innov Pharm] 2023 Nov 09; Vol. 14 (3). Date of Electronic Publication: 2023 Nov 09 (Print Publication: 2023). |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: University of Minnesota, Dept. of Pharmaceutical Care & Health Systems Country of Publication: United States NLM ID: 101574764 Publication Model: eCollection Cited Medium: Internet ISSN: 2155-0417 (Electronic) Linking ISSN: 21550417 NLM ISO Abbreviation: Innov Pharm Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Original Publication: Minneapolis, MN : University of Minnesota, Dept. of Pharmaceutical Care & Health Systems |
| مستخلص: | Background : The 340B Drug Pricing Program provides discounted drug prices to safety-net entities which help stretch scarce resources to expand comprehensive services and treat more vulnerable patients. The program has received criticism questioning whether the original intentions are being accomplished. Objective : This qualitative study aimed to understand lived experiences of patients accessing high-cost injectable diabetes medication(s) through a 340B Prescription Cash Discount Program (PCDP) provided at a community health center. Methods : This qualitative study utilized semi-structured individual interviews. We invited patients ≥18 years old with diabetes for >1 year who utilized the 340B PCDP to fill an injectable diabetes medication at least twice between 3/1/2020-3/1/2021 to participate. Trained personnel interviewed ten participants in 11/2021-2/2022 and completed thematic analysis of the transcribed interviews. Results : Themes included 340B feedback, benefits of 340B, consequences of being without 340B, community pharmacy experience, and use of other services. Participants deemed the 340B program as a "lifesaver." Perceived benefits of the program included improved diabetes control and savings that made their prescriptions more affordable. Consequences of being without the program include that medication was too expensive to take as prescribed and rationing/skipping doses. Participants were pleased with the accessibility of the network of contract pharmacies and described benefiting from services supported by 340B savings. Conclusions : Recent criticisms question whether the 340B program accomplishes its original intentions of stretching scarce federal resources to help safety-net entities expand services and treat more patients. This study provides insight into the personal impact of the 340B program on underserved patients with chronic disease accessing high-cost medication(s). Findings highlight crucial strengths of the program from the patient perspective, which policymakers and other stakeholders should consider to provide support for the continuation of these services. (© Individual authors.) |
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| فهرسة مساهمة: | Keywords: Federally Qualified Health Center (FQHC); contract pharmacy; drug pricing; medication cost; patient perspectives; prescription discount program; prescription drug coverage; safety-net |
| تواريخ الأحداث: | Date Created: 20240315 Latest Revision: 20240316 |
| رمز التحديث: | 20240316 |
| مُعرف محوري في PubMed: | PMC10936455 |
| DOI: | 10.24926/iip.v14i3.5445 |
| PMID: | 38487386 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 2155-0417 |
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| DOI: | 10.24926/iip.v14i3.5445 |