Out-of-pocket spending and medication adhrence among dialysis patiens in twelve countries
Out-of-pocket spending and medication adhrence among dialysis patiens in twelve countries
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DOI：
10.1377/hlthaff.27.1.89
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发表时间：
2008-01-01
期刊：
影响因子：
9.7
通讯作者：
Piette, John D.
中科院分区：
文献类型：
--
作者：
Hirth, Richard A.;Greer, Scott L.;Piette, John D.
很少有研究考察各国类似患者队列中的药物成本和依从性。使用来自12个国家的血液透析患者的代表性样本，我们检查了自付药物支出和与成本相关的不依从性。平均每月支出从英国的8美元到美国的114美元不等。报告因费用而不服药的患者比例从日本的3%到美国的29%不等。自付支出与国家药品融资政策有关，并预测了国家不依从率。然而，患者费用和不坚持治疗之间的关系不一致表明，其他社会或政策因素也很重要。
Few studies have examined drug costs and adherence in similar patient cohorts across countries. Using representative samples of hemodialysis patients from twelve countries, we examined out-of-pocket medication spending and cost-related nonadherence. Mean monthly spending ranged from $8 in the United Kingdom to $114 in the United States. The proportion of patients reporting nonadherence because of cost ranged from 3 percent in Japan to 29 percent in the United States. Out-of-pocket spending was related to national pharmaceutical financing policies and predicted national nonadherence rates. However, inconsistencies in the relationship between patient costs and nonadherence suggested that other social or policy factors also matter.