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Health Rep. 2014 May;25(5):3-12.

Self-reported financial barriers to care among patients with cardiovascular-related chronic conditions.

Author information

1
University of Calgary, Calgary, Alberta.
2
Health Analysis Division at Statistics Canada, Ottawa, Ontario, K1A 0T6.
3
Ottawa Hospital Research Institute, Ottawa, Ontario.
4
University of Alberta, Edmonton, Alberta.

Abstract

BACKGROUND:

People with chronic conditions who do not achieve therapeutic targets have a higher risk of adverse health outcomes. Failure to meet these targets may be due to a variety of barriers. This article examines self-reported financial barriers to health care among people with cardiovascular-related chronic conditions.

DATA AND METHODS:

A population-based survey was administered to western Canadians with cardiovascular-related chronic conditions (n = 1,849). Associations between self-reported financial barriers and statin use, the likelihood of stopping use of prescribed medications, and emergency department visits or hospitalizations were assessed.

RESULTS:

More than 10% respondents reported general financial barriers (12%) and lack of drug insurance (14%); 4% reported financial barriers to accessing medications. Emergency department visits or hospitalizations were 70% more likely among those reporting a general financial barrier. Those reporting a financial barrier to medications were 50% less likely to take statins and three times more likely to stop using prescribed medications. Individuals without drug insurance were nearly 30% less likely to take statins.

INTERPRETATION:

In this population, self-reported financial barriers were associated with lower medication use and increased likelihood of emergency department visits or hospitalization.

KEYWORDS:

Health insurance; health services accessibility; socio-economic factors; socio-economic status

PMID:
24850391
[Indexed for MEDLINE]
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