| Titre : | Cost-related medication underuse among chronically III adults : The treatments people forgo, how often, and who is at risk. (2004) |
| Auteurs : | John-D PIETTE ; Michele HEISLER ; WAGNER (Todd-H) : USA. Health Economics Resource Center. Department of Veterans Affairs and the Department of Health Research and Policy. Stanford University. ; Department of Veterans Affairs. Center for Practice Management and Outcomes Research. Ann Arbor. USA ; University of Michigan. Department of Internal Medicine. Ann Arbor. USA ; University of Michigan. Diabetes Research and Training Center. Ann Arbor. USA |
| Type de document : | Article |
| Dans : | American journal of public health (vol. 94, n° 10, 2004) |
| Pagination : | 1782-1787 |
| Langues: | Anglais |
| Mots-clés : | Coût ; Pharmacoéconomie ; Economie santé ; Thérapeutique ; Médicament ; Adulte ; Homme ; Facteur risque ; Accès soins ; Etats Unis ; Amérique ; Soins ; Amérique du Nord |
| Résumé : | [BDSP. Notice produite par INIST-CNRS esR0xtgt. Diffusion soumise à autorisation]. 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. |
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