Evidence map›Paper›PMID 37780061›Full record

ArticleDigital health

Automated versus manual prior authorization for diabetes mellitus drugs: A retrospective study from Israel.

Shai Moshel, Shmeul Klang, Revital Nikname, Katy Bar Shalom, Dov Albukrek, Galia Zacay

Open access · goldAbstract read
In one paragraph

Article in Digital health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 40% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 1 country.

Shai MoshelMeuhedet Health Services, Tel Aviv, Israel.
Shmeul KlangSchool of Public Health, University of Haifa, Haifa, Israel.
Revital NiknameMeuhedet Health Services, Tel Aviv, Israel.
Katy Bar ShalomMeuhedet Health Services, Tel Aviv, Israel.
Dov AlbukrekMeuhedet Health Services, Tel Aviv, Israel.
Galia ZacayMeuhedet Health Services, Tel Aviv, Israel.ORCID https://orcid.org/0000-0002-0722-7326
Clalit Health Services · ILPeres Academic Center · ILTel Aviv University · ILUniversity of Haifa · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Drug prior authorization (PA) imposes a bureaucratic and economic burden on healthcare service providers and payers. A novel automated PA system may improve these drawbacks. Methods: An historical cohort study from a large health maintenance organization in Israel, comparing manual versus automated PA mechanisms for diabetes mellitus (DM) drugs: sodium-glucose co-transporter-2 inhibitors (SGLT2i) and glucagon-like peptide-1 analogs (GLP1-A). We compared patients with DM, whose first drug applications were approved using the automated system, with similar patients whose first drug applications were approved by manual PA. The primary endpoint was the time elapsed from application approval to prescription filling (accessibility time). Secondary endpoints included the prescription filling rate at 7 and 30 days. Results: In total, 1371 automated approved prescriptions and 1240 manually approved prescriptions were included in the analysis. Median accessibility time was one day (interquartile range (IQR) 0-5) with automated PA for both GLP1-A and SGLT2i, compared with four days (IQR 1-9) and three days (IQR 1-8), respectively, with the manual PA ( Conclusions: Automated PA system improved access time to SGLT2i/GLP1-A seven days post-approval compared to manual PA.

Indexed as

computer-assisteddrug therapyGLP-1 analogsHealth insuranceprior authorizationsSGLT-2 inhibitors

Identifiers

PMID37780061
PMCPMC10540583
OpenAlexW4387146214

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.