Cost-related non-adherence to prescribed medicines among older adults: a cross-sectional analysis of a survey in 11 developed countries
Cost-related non-adherence to prescribed medicines among older adults: a cross-sectional analysis of a survey in 11 developed countries
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DOI：
10.1136/bmjopen-2016-014287
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发表时间：
2017-01-01
期刊：
影响因子：
2.9
通讯作者：
Lee, Augustine
中科院分区：
文献类型：
--
作者：
Morgan, Steven G.;Lee, Augustine
目标 评估 11 个为其人口提供不同水平处方药覆盖的发达国家中成本对获得药品的影响。设计对英联邦基金 2014 年老年人国际卫生政策调查数据进行横断面研究。设置在 11 个高收入国家进行电话调查：澳大利亚、加拿大、法国、德国、荷兰、新西兰、挪威、瑞典、瑞士、英国和美国。参与者 22532 名 55 岁和 55 岁的成年人主要结果测量自我报告的与费用相关的不依从性 (CRNA)，表现为过去 12 个月内因自付费用而未按处方配药或跳过剂量。结果 所有老年人中 CRNA 的估计患病率各不相同
Objectives To assess the effects of costs on access to medicines in 11 developed countries offering different levels of prescription drug coverage for their populations.Design Cross-sectional study of data from the Commonwealth Fund 2014 International Health Policy Survey of Older Adults.Setting Telephone survey conducted in 11 high-income countries: Australia, Canada, France, Germany, the Netherlands, New Zealand, Norway, Sweden, Switzerland, the UK and the USA.Participants 22532 adults aged 55 and older and living in the community in studied countries.Primary outcome measure Self-reported cost-related non-adherence (CRNA) in the form of either not filling a prescription or skipping doses within the last 12months because of out-of-pocket costs.Results Estimated prevalence of CRNA among all older adults varied from