Financial Barriers and Adverse Clinical Outcomes Among Patients with Cardiovascular-Related Chronic Diseases: A Cohort Study

Guidelines, policies, and barriers to kidney care: findings from a global survey

“…Top barriers to kidney care identified in the GKHA survey were related to patient, physician, and geography factors. Previous research has suggested patient-related barriers in chronic disease management are related to patients' finances, 25,26 attitudes or beliefs, knowledge, language, and comorbidities, 26 among others. Other research, specific to kidney disease, identified a number of patient-reported barriers to care, 27 including, for example, a lack of understanding about kidney disease, feeling unwell or low mood, limited knowledge on permissible foods, issues on maintaining dietary and fluid restrictions, lack of motivation, and other stressors in their life aside from kidney disease.…”

Barriers to Healthcare Access and Long-Term Survival After an Acute Coronary Syndrome

“…Prior studies have found positive associations of financial barriers to care with higher mortality among those with cardiovascular disease. 10,25,40 In the aforementioned study of patients hospitalized for an AMI at three Maryland hospitals, the risk of dying from all causes over a 14-year follow-up period was 30% higher among underinsured patients compared with well-insured patients. 25 Participants in the PREMIER study who reported avoiding medical care due to cost experienced all-cause mortality within a year of hospital discharge at a 40% higher rate than for those without such a barrier.…”

Exploring patient and pharmacist perspectives on complex interventions for cardiovascular prevention: A qualitative descriptive process evaluation

“…3 Two particularly common barriers include lack of knowledge regarding chronic conditions/CV risk, and how to manage those appropriately 4 ; and financial barriers, which impede access to the prerequisites needed for optimal self-management. [5][6][7] Recent evidence suggests that addressing these barriers has the potential to improve patient outcomes. Specifically, in health-care systems that require patients to pay for medications, reducing patients' financial barriers through policies such as copayment elimination has been demonstrated to improve adherence and reduce CV risk.…”