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Am J Public Health. 2004 Oct;94(10):1782-7.

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

Author information

  • 1Center for Practice Management and Outcomes Research, VA Ann Arbor Health Care System, PO Box 130170, Ann Arbor, MI 48113-0170, USA. jpiette@umich.edu

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.

PMID:
15451750
[PubMed - indexed for MEDLINE]
PMCID:
PMC1448534
Free PMC Article
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