{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T10:11:33Z","timestamp":1788775893103,"version":"build-2803163510"},"reference-count":10,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["JPGN rep."],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Commercial payers and pharmacy benefit managers use site\u2010of\u2010care and specialty drug distribution policies (including white bagging and brown bagging) that can redirect infusion\u2010based biologic therapies from hospital outpatient departments to alternate settings. We conducted an anonymous web\u2010based survey distributed via a national pediatric gastroenterology (GI) listserv (February 13\u201327, 2026) to characterize perceived access barriers and decision drivers for acceptable infusion sites among pediatric inflammatory bowel disease (IBD) clinicians. Among 100 respondents, prior authorization\/payer friction was most frequently rated as a major\/severe pain point (66%). The highest\u2010rated decision drivers were reaction management capability (88% very\/extremely important), reliable communication back to the GI team (88%), patient experience (88%), and pediatric infusion expertise (87%). These findings highlight administrative burden as the dominant barrier and underscore the importance of safety capability and bidirectional care integration when pediatric patients with IBD are shifted across sites of care.<\/jats:p>","DOI":"10.1002\/jpr3.70238","type":"journal-article","created":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T07:06:13Z","timestamp":1788246373000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Clinician perspectives on infusion site\u2010of\u2010care shifts in pediatric inflammatory bowel disease: An anonymous national web\u2010based survey"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1912-871X","authenticated-orcid":false,"given":"Brad","family":"Pasternak","sequence":"first","affiliation":[{"name":"Department of Pediatric Gastroenterology Phoenix Children's Hospital Phoenix Arizona USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,1]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"crossref","unstructured":"PearsonC SchapiroL PearsonSD. White bagging brown bagging and site of service policies: best practices in addressing provider and patient concerns. Institute for Clinical and Economic Review. April 2023. Accessed March 2 2026.https:\/\/icer.org\/wp-content\/uploads\/2023\/04\/ICER-White-Paper-_-White-Bagging-Brown-Bagging-and-Site-of-Service-Policies.pdf","DOI":"10.57264\/cer-2023-0128"},{"key":"e_1_2_7_3_1","unstructured":"American Society of Health\u2010System Pharmacists. Navigating and optimizing infusion services when hospital\u2010based care is not an option. August 2019. Accessed March 2 2026.https:\/\/www.ashp.org\/-\/media\/assets\/practice-management\/docs\/Site-of-Care-Challenges-81919.pdf"},{"key":"e_1_2_7_4_1","unstructured":"Aetna. Drug infusion\/injection site\u2010of\u2010care policy. Accessed March 2 2026.https:\/\/www.aetna.com\/health-care-professionals\/utilization-management\/drug-infusion-site-of-care-policy.html"},{"key":"e_1_2_7_5_1","unstructured":"National Association of Boards of Pharmacy. White and brown bagging: emerging practices emerging regulation. April 2018. Accessed March 2 2026.https:\/\/nabp.pharmacy\/wp-content\/uploads\/2018\/04\/White-Bagging-and-Brown-Bagging-Report-2018_Final-1.pdf"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/MPG.0000000000001890"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.6.3.e34"},{"key":"e_1_2_7_8_1","volume-title":"Standard Definitions: Final Dispositions of Case Codes and Outcome Rates for Surveys","author":"American Association for Public Opinion Research","year":"2023"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/MPG.0000000000002422"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/MPG.0000000000003772"},{"issue":"1","key":"e_1_2_7_11_1","first-page":"96","article-title":"Satisfaction and expectations of patients with inflammatory bowel disease on biologic therapy: a multicenter study","volume":"30","author":"Guarini A","year":"2017","journal-title":"Ann Gastroenterol"}],"container-title":["JPGN Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jpr3.70238","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/jpr3.70238","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jpr3.70238","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T09:46:53Z","timestamp":1788774413000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/jpr3.70238"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,1]]},"references-count":10,"alternative-id":["10.1002\/jpr3.70238"],"URL":"https:\/\/doi.org\/10.1002\/jpr3.70238","archive":["Portico"],"relation":{},"ISSN":["2691-171X","2691-171X"],"issn-type":[{"value":"2691-171X","type":"print"},{"value":"2691-171X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,1]]},"assertion":[{"value":"2026-04-27","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-24","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-01","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"jpr3.70238"}}