Pharmacy accessibility and cost-related underuse of prescription medications in low-income Black and Hispanic urban communities
Pharmacy accessibility and cost-related underuse of prescription medications in low-income Black and Hispanic urban communities
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DOI：
10.1016/j.japh.2016.12.065
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发表时间：
2017-03-01
影响因子：
2.1
通讯作者：
Lindau, Stacy Tessler
中科院分区：
文献类型：
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作者：
Qato, Dima Mazen;Wilder, Jocelyn;Lindau, Stacy Tessler
目标：美国降低处方药成本的政策努力未能减少与成本相关的未充分使用的差异。关于低收入少数民族社区居民中处方药的可及性、利用率和与成本相关的未充分使用之间的关系，人们知之甚少。这项工作的目的是检查药房的可及性之间的关联，利用率，和成本相关的处方药使用不足的居民主要是低收入的黑人和西班牙裔城市社区。数据来自2012年居住在芝加哥南区的35岁及以上成年人的基于人口的概率样本-2013年的数据与使用关于主要药店和最近药店的类型和位置的地理编码信息相关联。多变量回归模型被用来研究药房的可及性，利用和旅行距离之间的关联，以主要药房，和成本相关的未充分使用的整体和药房type.Results：三分之一的南区居民主要填写他们的处方在药房最近的家。在那些不使用邮购的人中，从家到主要药房的平均距离为1.2英里。居民的主要药房是在社区卫生中心或诊所，他们通常得到照顾，走得最远，但最不可能报告与成本相关的不足，他们的处方medications.Conclusion：大多数居民的少数民族社区的芝加哥的南区没有使用最近的药店，以获得他们的处方药。在这些社区改善处方药获取的努力应侧重于改善医疗场所平价药店的可及性。(C)2017年美国药学协会（R）。爱思唯尔公司出版All rights reserved.
Objectives: Policy efforts to reduce the cost of prescription medications in the US have failed to reduce disparities in cost-related underuse. Little is known about the relationships between pharmacy accessibility, utilization, and cost-related underuse of prescription medications among residents of low-income minority communities. The aim of this work was to examine the association between pharmacy accessibility, utilization, and cost-related underuse of prescription medications among residents of predominantly low-income Black and Hispanic urban communities.Methods: Data from a population-based probability sample of adults 35 years of age and older residing on the South Side of Chicago in 2012-2013 were linked with the use of geocoded information on the type and location of the primary and the nearest pharmacy. Multivariable regression models were used to examine associations between pharmacy accessibility, utilization of and travel distance to the primary pharmacy, and cost-related underuse overall and by pharmacy type.Results: One-third of South Side residents primarily filled their prescriptions at the pharmacy nearest to their home. Among those who did not use mail order, median distance traveled from home to the primary pharmacy was 1.2 miles. Residents whose primary pharmacy was at a community health center or clinic where they usually received care traveled the farthest but were least likely to report cost-related underuse of their prescription medications.Conclusion: Most residents of minority communities on Chicago's South Side were not using the pharmacies closest to their home to obtain their prescription medications. Efforts to improve access to prescription medications in these communities should focus on improving the accessibility of affordable pharmacies at site of care. (C) 2017 American Pharmacists Association (R). Published by Elsevier Inc. All rights reserved.