Medication Costs and Adherence of Treatment Before and After the Affordable Care Act: 1999-2015
Medication Costs and Adherence of Treatment Before and After the Affordable Care Act: 1999-2015
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DOI：
10.2105/ajph.2016.303269
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发表时间：
2016-10-01
影响因子：
12.7
通讯作者：
Wood, Elizabeth Geneva
中科院分区：
文献类型：
--
作者：
Kennedy, Jae;Wood, Elizabeth Geneva
为了检查按年龄组划分的与费用相关的处方不依从率（CRN）的全国变化，我们使用了1999-2015年成人和儿童全国健康访谈调查样本（n = 768 781）的数据。在对2015年数据的逻辑回归分析中，我们确定了存在与费用相关的不依从风险的亚组。在过去12个月内，由于负担不起而没有配药的所有美国人的比例从1999年到2009年一直在增长，在大衰退最严重的时候达到8.3%，到2015年下降到5.2%。然而，老年人中的CRN在2004年达到5.4%的峰值，在2006年实施医疗保险D部分后下降到3.6%。CRN对与实施医疗保险D部分和《平价医疗法案》有关的改善服务作出了反应。
To examine national changes in rates of cost-related prescription nonadherence (CRN) by age group, we used data from the 1999-2015 Sample Adult and Sample Child National Health Interview Surveys (n = 768 781). In a logistic regression analysis of 2015 data, we identified subgroups at risk for cost-related nonadherence.The proportion of all Americans who did not fill a prescription in the previous 12 months because they could not afford it grew from 1999 to 2009, peaking at 8.3% at the height of the Great Recession and dropping to 5.2% by 2015. CRN among seniors, however, peaked in 2004 at 5.4% and dropped to 3.6% after implementation of Medicare Part D in 2006.CRN is responsive to improved access related to implementation of Medicare Part D and the Affordable Care Act.