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Physician approaches to drug shortages: Results of a national survey of pediatric hematologist/oncologists
AIM: To evaluate personnel involved in scarce drug prioritization and distribution and the criteria used to inform drug distribution during times of shortage among pediatric hematologists/oncologists. METHODS: Using the American Society of Pediatric Hematology/Oncology (ASPHO) membership list, a 20...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Baishideng Publishing Group Inc
2017
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5554877/ https://www.ncbi.nlm.nih.gov/pubmed/28848700 http://dx.doi.org/10.5306/wjco.v8.i4.336 |
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author | Beck, Jill C Chen, Baojiang Gordon, Bruce G |
author_facet | Beck, Jill C Chen, Baojiang Gordon, Bruce G |
author_sort | Beck, Jill C |
collection | PubMed |
description | AIM: To evaluate personnel involved in scarce drug prioritization and distribution and the criteria used to inform drug distribution during times of shortage among pediatric hematologists/oncologists. METHODS: Using the American Society of Pediatric Hematology/Oncology (ASPHO) membership list, a 20 question survey of pediatric hematologists/oncologists was conducted via email to evaluate personnel involved in scarce drug prioritization and distribution and criteria used to inform scarce drug distribution. RESULTS: Nearly 65% of the 191 study respondents had patients directly affected by drug shortages. Most physicians find out about shortages from the pharmacist (n = 179, 98%) or other doctors (n = 75, 41%). One third of respondents do not know if there is a program or policy for handling drug shortages at their institution. The pharmacist was the most commonly cited decision maker for shortage drug distribution (n = 128, 70%), followed by physicians (n = 109, 60%). One fourth of respondents did not know who makes decisions about shortage drug distribution at their institution. The highest priority criterion among respondents was use of the shortage drug for curative, rather than palliative intent and lowest priority criterion was order of arrival or first-come first-served. CONCLUSION: Despite pediatric hematology/oncology physicians and patients being heavily impacted by drug shortages, institutional processes for handling shortages are lacking. There is significant disparity between how decisions for distribution of shortage drugs are currently made and how study respondents felt those decisions should be made. An institution-based, and more importantly, a societal approach to drug shortages is necessary to reconcile these disparities. |
format | Online Article Text |
id | pubmed-5554877 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Baishideng Publishing Group Inc |
record_format | MEDLINE/PubMed |
spelling | pubmed-55548772017-08-28 Physician approaches to drug shortages: Results of a national survey of pediatric hematologist/oncologists Beck, Jill C Chen, Baojiang Gordon, Bruce G World J Clin Oncol Retrospective Study AIM: To evaluate personnel involved in scarce drug prioritization and distribution and the criteria used to inform drug distribution during times of shortage among pediatric hematologists/oncologists. METHODS: Using the American Society of Pediatric Hematology/Oncology (ASPHO) membership list, a 20 question survey of pediatric hematologists/oncologists was conducted via email to evaluate personnel involved in scarce drug prioritization and distribution and criteria used to inform scarce drug distribution. RESULTS: Nearly 65% of the 191 study respondents had patients directly affected by drug shortages. Most physicians find out about shortages from the pharmacist (n = 179, 98%) or other doctors (n = 75, 41%). One third of respondents do not know if there is a program or policy for handling drug shortages at their institution. The pharmacist was the most commonly cited decision maker for shortage drug distribution (n = 128, 70%), followed by physicians (n = 109, 60%). One fourth of respondents did not know who makes decisions about shortage drug distribution at their institution. The highest priority criterion among respondents was use of the shortage drug for curative, rather than palliative intent and lowest priority criterion was order of arrival or first-come first-served. CONCLUSION: Despite pediatric hematology/oncology physicians and patients being heavily impacted by drug shortages, institutional processes for handling shortages are lacking. There is significant disparity between how decisions for distribution of shortage drugs are currently made and how study respondents felt those decisions should be made. An institution-based, and more importantly, a societal approach to drug shortages is necessary to reconcile these disparities. Baishideng Publishing Group Inc 2017-08-10 2017-08-10 /pmc/articles/PMC5554877/ /pubmed/28848700 http://dx.doi.org/10.5306/wjco.v8.i4.336 Text en ©The Author(s) 2017. Published by Baishideng Publishing Group Inc. All rights reserved. http://creativecommons.org/licenses/by-nc/4.0/ Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ |
spellingShingle | Retrospective Study Beck, Jill C Chen, Baojiang Gordon, Bruce G Physician approaches to drug shortages: Results of a national survey of pediatric hematologist/oncologists |
title | Physician approaches to drug shortages: Results of a national survey of pediatric hematologist/oncologists |
title_full | Physician approaches to drug shortages: Results of a national survey of pediatric hematologist/oncologists |
title_fullStr | Physician approaches to drug shortages: Results of a national survey of pediatric hematologist/oncologists |
title_full_unstemmed | Physician approaches to drug shortages: Results of a national survey of pediatric hematologist/oncologists |
title_short | Physician approaches to drug shortages: Results of a national survey of pediatric hematologist/oncologists |
title_sort | physician approaches to drug shortages: results of a national survey of pediatric hematologist/oncologists |
topic | Retrospective Study |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5554877/ https://www.ncbi.nlm.nih.gov/pubmed/28848700 http://dx.doi.org/10.5306/wjco.v8.i4.336 |
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