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Volume 8
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10.1080/20016689.2020.1738637
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Journal of Market Access & Health Policy (JMAHP) is published by MDPI from Volume 12 Issue 1 (2024). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with Taylor & Francis.
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Article

Specialist Physician Perspectives on Non-Medical Switching of Prescription Medications

by
Olivia S. Costa
1,2,
Tabassum Salam
3,
Amy Duhig
4,
Aarti A. Patel
5,
Ann Cameron
4,
Jennifer Voelker
5,
Brahim Bookhart
5 and
Craig I. Coleman
1,2,*
1
School of Pharmacy, University of Connecticut, Storrs, CT, USA
2
Evidence-Based Practice Center, Hartford Hospital, Hartford, CT, USA
3
Medical Education, American College of Physicians, Philadelphia, PA, USA
4
Consulting Services, Xcenda, Palm Harbor, FL, USA
5
Real World Value and Evidence, Janssen Scientific Affairs, LLC, Titusville, NJ, USA
*
Author to whom correspondence should be addressed.
J. Mark. Access Health Policy 2020, 8(1), 1738637; https://doi.org/10.1080/20016689.2020.1738637
Submission received: 15 November 2019 / Revised: 24 February 2020 / Accepted: 28 February 2020 / Published: 9 March 2020

Abstract

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.
Keywords: non-medical switch; outcome assessment; specialization; therapeutic interchange non-medical switch; outcome assessment; specialization; therapeutic interchange

Share and Cite

MDPI and ACS Style

Costa, O.S.; Salam, T.; Duhig, A.; Patel, A.A.; Cameron, A.; Voelker, J.; Bookhart, B.; Coleman, C.I. Specialist Physician Perspectives on Non-Medical Switching of Prescription Medications. J. Mark. Access Health Policy 2020, 8, 1738637. https://doi.org/10.1080/20016689.2020.1738637

AMA Style

Costa OS, Salam T, Duhig A, Patel AA, Cameron A, Voelker J, Bookhart B, Coleman CI. Specialist Physician Perspectives on Non-Medical Switching of Prescription Medications. Journal of Market Access & Health Policy. 2020; 8(1):1738637. https://doi.org/10.1080/20016689.2020.1738637

Chicago/Turabian Style

Costa, Olivia S., Tabassum Salam, Amy Duhig, Aarti A. Patel, Ann Cameron, Jennifer Voelker, Brahim Bookhart, and Craig I. Coleman. 2020. "Specialist Physician Perspectives on Non-Medical Switching of Prescription Medications" Journal of Market Access & Health Policy 8, no. 1: 1738637. https://doi.org/10.1080/20016689.2020.1738637

APA Style

Costa, O. S., Salam, T., Duhig, A., Patel, A. A., Cameron, A., Voelker, J., Bookhart, B., & Coleman, C. I. (2020). Specialist Physician Perspectives on Non-Medical Switching of Prescription Medications. Journal of Market Access & Health Policy, 8(1), 1738637. https://doi.org/10.1080/20016689.2020.1738637

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