Cost-related medication underuse among chronically ill adults: The treatments people forgo, how often, and who is at risk
Cost-related medication underuse among chronically ill adults: The treatments people forgo, how often, and who is at risk
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DOI：
10.2105/ajph.94.10.1782
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发表时间：
2004-10-01
影响因子：
12.7
通讯作者：
Wagner, TH
中科院分区：
文献类型：
--
作者：
Piette, JD;Heisler, M;Wagner, TH
目标.我们寻求有关药物使用不足的成本相关信息-哪些药物使用不足，由谁使用，以及使用频率如何。慢性病成人被要求确定他们有多少次未充分使用处方药的16种健康状况，因为成本。18%的受访者由于前一年的成本而减少了药物使用，14%的受访者至少每月使用较少的药物。尽管不同治疗的未充分使用率差异很大，但处方覆盖率和自付费用是不同药物类型未充分使用的决定因素。许多患有慢性病的成年人经常因费用而减少药物治疗。病人对他们放弃的治疗是有选择性的。自付费用和处方覆盖不足可能导致许多重要药物类型的依从性问题。
Objectives. We sought information about the cost-related underuse of medications-which medications are underused, by whom, and how often.Methods. Chronically ill adults were asked to identify how often they underused prescription medication for 16 health conditions because of the cost.Results. Eighteen percent of respondents cut back on medication use owing to cost in the previous year, and 14% used less medication at least monthly. Although rates of underuse varied substantially across treatments, prescription coverage and out-of-pocket costs were determinants of underuse across medication types.Conclusions. Many chronically ill adults frequently cut back on medications owing to cost. Patients are selective about the treatments they forgo. Out-of-pocket costs and inadequate prescription coverage may lead to adherence problems for many important medication types.