The Health Effects of Restricting Prescription Medication Use Because of Cost

Heisler, Michele; Langa, Kenneth M.; Eby, E.; Fendrick, A. Mark; Kabeto, Mohammed U.; Piette, John D.

doi:10.1097/01.mlr.0000129352.36733.cc

Cited by 250 publications

(209 citation statements)

References 40 publications

(33 reference statements)

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“…Knowledge combined with decision making shared with patients, according to their values, in addition to perceived self-care barriers, motivation and proposed targets, can lead to the adoption of positive attitudes towards treatment (8) .…”

Section: Introductionmentioning

confidence: 99%

Relação entre conhecimento, atitude, escolaridade e tempo de doença em indivíduos com diabetes mellitus

Rodrigues¹,

Santos

Teixeira

et al. 2012

Acta paul. enferm.

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Objectives: To relate the knowledge and attitudes of users with type 2 diabetes mellitus (DM2), according to educational level and duration of disease. Methods: This was a quantitative, descriptive transversal study conducted in a Basic Health District Unit in the municipality of Ribeirão Preto, SP, in 2010. We interviewed 123 users with DM2, who met the inclusion criteria. For data collection we used: Knowledge Questionnaire (DKN-A) and Questionnaire of Psychological Attitudes about Diabetes (TA-19). Data were collected through direct interviews. For the analysis, we used the Fisher exact test. Results: The mean age was 63.87 ± 9.09 years, 4.54 ± 3.66 years of study, mean disease duration 11.18 ± 8.64 years. The education and disease duration were statistically signifi cant (p <0.01 and 0.02, respectively) for the acquisition of knowledge and readiness for self-care in diabetes. Conclusions: education and disease duration are variables that infl uence the knowledge and attitude of patients with DM2. RESUMENObjetivos: Relacionar el conocimiento y la actitud de usuarios con Diabetes mellitus tipo 2 (DM2), conforme la escolaridad y el tiempo de la enfermedad. Métodos: Estudio de abordaje cuantitativo, descriptivo transversal realizado en una Unidad Básica Distrital de Salud del municipio de Ribeirão Preto, SP, en el 2010. Fueron entrevistados 123 usuarios con DM2, que reunían los criterios de inclusión. Para la recolección de los datos, fueron utilizados: Cuestionario de Conocimiento (DKN-A) y Cuestionario de Actitudes Psicológicas de la Diabetes (ATT-19). Los datos fueron obtenidos por medio de entrevista dirigida. Para el análisis, se utilizo el test Exacto de Fisher. Resultados: El promedio de edad fue de 63,87±9,09 años, 4,54±3,66 años de estudio, tiempo promedio de enfermedad 11,18±8,64 años. La escolaridad y el tiempo de enfermedad se mostraron estadísticamente signifi cativos (p<0,01 e 0,02, respectivamente) para la adquisición del conocimiento y prontitud para el autocuidado en Diabetes. Conclusiones: La escolaridad y el tiempo de enfermedad son variables que infl uyen en el conocimiento y actitud del paciente con DM2. Descriptores: Diabetes mellitus tipo 2; Conocimiento; Actitud; Escolaridad

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Section: Introductionmentioning

confidence: 99%

Relação entre conhecimento, atitude, escolaridade e tempo de doença em indivíduos com diabetes mellitus

Rodrigues¹,

Santos

Teixeira

et al. 2012

Acta paul. enferm.

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“…If health care teams are able to help patients afford their prescription drugs and adhere to therapy, the full benefit of improved health outcomes may be realized. 3,4 Limitations There are 2 important limitations to this study. First, long-term follow-up data were not collected; as a result, it is unknown whether learners retained changes in knowledge and attitudes over time; if any prescription drug cost-saving strategies were used on behalf of patients; and whether the application of such strategies reduced patients' OOP drug costs.…”

Section: Change In Proportion Of Positive Response To Behavioral Quesmentioning

confidence: 99%

“…1,2 Despite efforts to improve access to needed prescription drugs, cost-related nonadherence to prescription drug therapy remains an important public health problem, as it may result in poor clinical outcomes and increased costs. [2][3][4] Physicians and other prescribers may not be aware of high drug costs for specific patients, have time to address those costs in patient visits, or have an efficient manner in which to address high drug costs for their patients. Physicians may not be familiar with, or have easy access to, an individual patient's formulary and extent of OOP drug costs.…”

Section: Setting Intervention and Participantsmentioning

confidence: 99%

Pharmacy Students Teaching Prescribers Strategies to Lower Prescription Drug Costs for Underserved Patients

Stebbins¹,

Frear²,

Cutler³

et al. 2013

JMCP

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BACKGROUND: The rising costs of health care and, in particular, prescription drugs remains a challenge. Health professionals' ability to promote cost-effective prescription drug use is critical, yet this subject is not included consistently in the curriculum of most health professional schools. As experts in prescription drug selection, use, and cost, pharmacists are in a unique position to help manage prescription drug regimens for the best therapeutic outcome, while also helping to keep patients' out-of-pocket (OOP) prescription drug costs low. In addition to promoting interprofessional collaboration, pharmacy student-led lectures may provide an effective means to teach prescription drug cost-savings strategies to other health professional students and current prescribers.

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“…2 Nonadherence accounts for nearly 125,000 deaths and over $290 billion in health care costs per year. [3][4][5][6][7] Patients with chronic diseases have particular difficulty adhering because of complicated medication regimens. 8 Chronic diseases are the leading causes of death and disability in the United States, affecting about half of all American adults.…”

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confidence: 99%

Patient Beliefs Have a Greater Impact Than Barriers on Medication Adherence in a Community Health Center

et al. 2017

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Purpose: Nonadherence to medicines contributes to poor health outcomes, especially for patients with complicated medicine regimens. We examined adherence among patients at a family health center and the impact that barriers to getting medicines and negative beliefs about medicines have on adherence.Methods: A survey was administered incorporating the 8-item Morisky Medication Adherence Scale, questions from the Beliefs about Medicine Questionnaire, and questions about patients' external barriers to getting medicines. Low adherence was examined by any external barrier and by higher negative beliefs, adjusting for patient characteristics.Results: The convenience sample of 343 participants is demographically representative of the larger population. Among these patients, 54% report low adherence, 51% have at least 1 barrier to adherence, and 52% report more negative than positive beliefs about medicines. When beliefs and barriers are examined together, patients with negative beliefs are 49% less likely to adhere than those with more positive beliefs, whereas barriers show no significant impact on adherence.Conclusions: Negative beliefs about medicines are as prevalent in this population as external barriers to accessing medicines, but negative beliefs were more significantly associated with adherence than external barriers. Physicians should identify and address patients' negative beliefs about medicines to improve adherence rates. (J Am Board Fam Med 2017;30:331-336.)

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The Health Effects of Restricting Prescription Medication Use Because of Cost

Cited by 250 publications

References 40 publications

Relação entre conhecimento, atitude, escolaridade e tempo de doença em indivíduos com diabetes mellitus

Relação entre conhecimento, atitude, escolaridade e tempo de doença em indivíduos com diabetes mellitus

Pharmacy Students Teaching Prescribers Strategies to Lower Prescription Drug Costs for Underserved Patients

Patient Beliefs Have a Greater Impact Than Barriers on Medication Adherence in a Community Health Center

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