Does the Medicare Part D Decision‐Making Experience Differ by Rural/Urban Location?

Henning‐Smith, Carrie; Casey, Michelle; Moscovice, Ira

doi:10.1111/jrh.12175

Cited by 4 publications

(2 citation statements)

References 30 publications

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“…The Patient Perception of Physicians Scale was constructed using items from the 2007 MCBS. The MCBS data have been collected since 1991, and there have been many studies utilizing these data to assess long-term care (Lee et al, 2016; Moyo, Huang, Simoni-Wastila, & Harrington, 2018; Shen, Zuckerman, Palmer, & Stuart, 2015), health care cost and utilization (Shen et al, 2015), disability (Ben-Shalom & Stapleton, 2016; Hennessy et al, 2015), Medicare plans (Henning-Smith, Casey, & Moscovice, 2017; Jacobs & Buntin, 2015), and patient satisfaction (Bogner et al, 2015). MCBS survey items include a variety of questions asking about sociodemographic characteristics, clinical characteristics, health status and functioning, access to care, health care resource use, and health care costs.…”

Section: Methodsmentioning

confidence: 99%

Patient Perception of Physicians and Medication Adherence Among Older Adults With Hypertension

Ward

Thomas

2018

J Aging Health

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Objective: To assess association between patient perception of physicians and adherence to antihypertensive medication among Medicare beneficiaries. Method: Logistic regression was used to assess association between the Patient Perception of Physicians Scale score and adherence to antihypertensive medication. The 2007 Medicare Current Beneficiary Survey data were used to create a 12-item patient perception of physician scale and 2008 Medicare Part D claims to assess adherence. Results: There were 2,510 beneficiaries included in the sample. The mean age was 76.4 years ( SD = ±6.88 years). Sixty-five percent of the sample was adherent in filling their antihypertensive medication. Beneficiaries with more favorable perceptions of their physician (scores 37 or higher) were more likely to be adherent to antihypertensive medications than beneficiaries with scores less than 37 (odds ratio [OR] = 1.341, 95% confidence interval [CI] = [1.101, 1.632], p = .0035). Discussion: These findings provide some evidence that patient perceptions of their physician are associated with adherence, and that the physician–patient relationship is an important factor.

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Section: Methodsmentioning

confidence: 99%

Patient Perception of Physicians and Medication Adherence Among Older Adults With Hypertension

Ward

Thomas

2018

J Aging Health

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“…Given the voluntary and optional nature of MTM, there must be a self-perceived need of beneficiaries to obtain and benefit from these services [ 45 ]. However, rural older adults face unique challenges in accessing MTM services [ 33 ] and find it more challenging to comprehend the complexities of Part D [ 46 ]. Additionally, the earlier successes of MTM do not appear to be resonating in current clinical practice.…”

Section: Discussionmentioning

confidence: 99%

Regional Variation in Pharmacist Perception of the Financial Impact of Medicare Part D

Khan¹,

Spooner

Spotts

2018

Pharmacy

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The objective of this study was to perform a nationwide investigation of the financial performance of community pharmacies in the United States since the inception of Medicare Part D. A nationwide, cross-sectional survey of pharmacists was conducted in 2013. The 43-item online survey collected information about demographics, financial implications of Part D on community pharmacy and patients, provision of Medication Therapy Management (MTM) services and opinions about Medicare Part D 2010 updates. The adjusted response rate was 22.3% (419/1885). A majority of respondents (75.6%) reported a stable or increased prescription volume since 2006 but only 40.4% indicated that the financial performance of their pharmacy as either excellent or good during the same period. Owners and part-owners of rural independent pharmacies were more likely to report a below average or poor financial performance (75.0%). The provision of MTM services was not related to the financial performance of the pharmacy. Nearly half (44.7%) of pharmacy owners or part-owners indicated that they were considering selling their pharmacy, with most (94.1%) reporting that their decision to sell was due to the Part D financial pressures. However, the decision to sell was not related to the change in financial performance since 2006 or the volume of prescriptions dispensed.

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Did the Medicare Prescription Drug Program Lead to New Racial and Ethnic Disparities? Examining Long-term Changes in Prescription Drug Access among Minority Populations

Chakravarty

2020

Social Work in Public Health

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Does the Medicare Part D Decision‐Making Experience Differ by Rural/Urban Location?

Cited by 4 publications

References 30 publications

Patient Perception of Physicians and Medication Adherence Among Older Adults With Hypertension

Patient Perception of Physicians and Medication Adherence Among Older Adults With Hypertension

Regional Variation in Pharmacist Perception of the Financial Impact of Medicare Part D

Did the Medicare Prescription Drug Program Lead to New Racial and Ethnic Disparities? Examining Long-term Changes in Prescription Drug Access among Minority Populations

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