"Step-Therapy" Prescription: How does it affect providers who treat rheumatoid arthritis? Public Deposited

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  • February 26, 2019
  • Hamby, Victoria
    • Affiliation: Gillings School of Global Public Health, Department of Health Policy and Management
  • While many studies have examined the impact of step-therapy on the quality of care patients receive, few have examined reduced physician autonomy due to step-therapy or provider agreement with proposed exemption processes for step-therapy. This study will focus on understanding the impact of step-therapy on provider perceptions on cost, quality, autonomy, and job satisfaction among providers of rheumatoid arthritis treatments in North Carolina.   Research Questions: 1. Do providers believe step-therapy reduces costs by changing the prescribing decisions of providers? 2. Does step-therapy influence providers’ perceived ability to provide quality care? 3. Does step-therapy reduce provider autonomy and thus reduce provider job satisfaction? 4. Do state policy makers have the ability to reduce the impacts providers face due to step-therapy?
Date of publication
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Rights statement
  • In Copyright
  • Funding: None
  • Dusetzina, Stacie
  • Bachelor of Science
Academic concentration
  • Health Policy & Management
Honors level
  • Honors
Degree granting institution
  • University of North Carolina at Chapel Hill
Graduation year
  • 2017
  • English

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