Cost-related medication underuse among chronically ill adults: the treatments people forgo, how often, and who is at risk.

Abstract:

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.

journal_name

Am J Public Health

authors

Piette JD,Heisler M,Wagner TH

doi

10.2105/ajph.94.10.1782

subject

Has Abstract

pub_date

2004-10-01 00:00:00

pages

1782-7

issue

10

eissn

0090-0036

issn

1541-0048

pii

94/10/1782

journal_volume

94

pub_type

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