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Factors and Outcomes Associated with 90-Days' Supply of Prescription Medications
Başlık:
Factors and Outcomes Associated with 90-Days' Supply of Prescription Medications
Yazar:
Sah, Janvi, author.
ISBN:
9780438099234
Yazar Ek Girişi:
Fiziksel Tanımlama:
1 electronic resource (72 pages)
Genel Not:
Source: Masters Abstracts International, Volume: 57-06M(E).
Committee members: Diane Cappelletty; Sadik Khuder; Varun Vaidya.
Özet:
BACKGROUND: Extended days' supply is associated with better adherence and lower cost associated with prescription drugs. Adherence increases health outcomes which is the main focus of the healthcare reform. Therefore, it is important to find the determinants of 90 days' supply so that more and more people can be switched to the extended days' supply of prescription drugs.
OBJECTIVE: The purpose of this study is to determine the Sociodemographic, economic and health insurance related factors associated with the use of 90-day supply of prescription medications.
METHODS: The study cohort consisted of 5533 adults above 18 years of age, having cardiovascular diseases, hypertension, hyperlipidemia, diabetes mellitus and asthma who participated in Medical Expenditure Panel Survey (MEPS) during 2010--2014. Cohort demographics factors of interest were age, gender, race/ethnicity, education, income, insurance source, access to prescription drugs, prescription drug coverage, primary pharmacy and out-of-pocket payment. Comparisons were made between respondents that filled 30-day supply compared to those that filled 90-day supply using chi square. Multivariable logistic regression was used to identify factors associated with 90-day supply.
RESULTS: Out of the entire study cohort (N=5533), 1814 (32.79) individuals filled 90 days' supply for at least one of their prescription medications. Blacks and Hispanics were less likely to report difficulties in accessing prescriptions age was a significant factor associated with 90-day supply. Individuals who had greater than high school education were found to be negatively correlated to days' supply. Respondents with Medicare coverage at some point over the year were 36% more likely to fill a 90-day prescription compared to those with private insurance. Similarly, respondents from Medicaid were twice more likely to obtain a 90-day supply. Respondents that use a drug store or a retail pharmacy as primary pharmacy for getting their prescription medications reported a higher likelihood of filling a 90-day supply.
CONCLUSIONS: Sociodemographic factors affect the utilization of these services as well as the insurance coverage and the type of primary pharmacy used by the respondents. Future studies need to find the source of disparity and interventions are needed to improve the acceptance of 90-days' supply.
Notlar:
School code: 0232
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Yer Numarası | Demirbaş Numarası | Shelf Location | Lokasyon / Statüsü / İade Tarihi |
---|---|---|---|
XX(696413.1) | 696413-1001 | Proquest E-Tez Koleksiyonu | Arıyor... |
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