Supplemental insurance and use of effective cardiovascular drugs among elderly medicare beneficiaries with coronary heart disease

Federman, Alex D.; Adams, AS; Ross‐Degnan, Dennis; Soumerai, S. B.; Ayanian, John Z.

doi:10.1016/s1062-1458(02)00530-5

Cited by 52 publications

(68 citation statements)

References 21 publications

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“…Blustein (2000) found that drug coverage was associated with a 40% increase in antihypertensive drug purchases in 1995 by elderly hypertensive patients. Federman et al (2001) reported 84% lower odds of statin use in 1997 among elderly people with high cholesterol and no drug coverage compared to those with employer-sponsored coverage. Soumerai et al (1991) analyzed the impact on prescription drug use of a three prescription limit per month in the New Hampshire Medicaid program.…”

Section: Discussionmentioning

confidence: 99%

Effect of Prescription Drug Coverage on the Elderly's Use of Prescription Drugs

Khan¹,

Kaestner²

2009

INQUIRY

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This paper evaluates the effect of prescription drug insurance coverage on prescription drug use among the elderly. Estimates were obtained using multivariate regression and a fixed-effects (within-person) research design that controls for unmeasured person-specific effects that may confound the relationships of interest. Estimates showed prescription drug coverage was associated with a 4% to 10% increase in the utilization of prescription drugs, depending on the type and generosity of the coverage.

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Section: Discussionmentioning

confidence: 99%

Effect of Prescription Drug Coverage on the Elderly's Use of Prescription Drugs

Khan¹,

Kaestner²

2009

INQUIRY

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“…29 Elderly Medicare beneficiaries with CHD who lack drug coverage were shown to have significantly lower rates of statin drug use (4.1%) compared with those with drug coverage (27.4%) in a nationally representative sample of Medicare beneficiaries. 30 Furthermore, Medicare beneficiaries with capped dollar amounts on prescriptions have been reported to take steps to decrease their out-of-pocket prescription costs, including discontinuing the prescribed medication. 31 In a national survey of 4,896 older adults aged 70 years or older who regularly took prescribed medications, medication restriction was reported in 8% of subjects with no coverage, 3% of those with partial coverage and, 2% with full coverage (P<0.01 for trend).…”

Section: Ss Discussionmentioning

confidence: 99%

Persistence With Lipid-Lowering Therapy: Influence of the Type of Lipid-Lowering Agent and Drug Benefit Plan Option in Elderly Patients

Abughosh¹,

Kogut²,

Andrade³

et al. 2004

JMCP

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“…4,9,11 Furthermore, the cost of medications and lack of adequate prescription drug coverage influences whether people take prescribed medications. 3,6,12 It is quite reasonable to believe that the quality of patients' relationship with their physicians also influences their decisions about filling prescriptions, just as doctor-patient relationships affect adherence to preventive care recommendations 13 and behavioral change advice. 5 Trust and confidence in one's physician improves medication adherence.…”

mentioning

confidence: 99%

Primary Medication Adherence in a Rural Population: The Role of the Patient-Physician Relationship and Satisfaction with Care

Wroth¹,

Pathman

2006

The Journal of the American Board of Family Medicine

120

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Introduction: Although correlates of overall medication adherence have been studied, little is known about primary medication non-adherence-patients' failing to fill a prescription provided by a practitioner-and whether it relates to how patients view their physician, satisfaction with their care, and how easy or hard it is for them to travel for care.Methods: This study uses telephone survey data from adults in 150 rural counties in 8 southeastern states. Bivariate and multivariable analyses were used to identify factors associated with adults' selfreports of delaying or not filling prescriptions.Results: Of the 3926 respondents who had received care in the previous year, 894 (21.6%) reported that they had delayed or did not fill a prescription over that time. In multivariate analysis, delaying or not filling prescriptions was more common among respondents who were under age 65, African American, reported incomes less than $25,000, and reported fair or poor health. Non-adherence was also more common among patients who reported transportation problems, a lack of confidence in their doctor's ability to help them, a lack of satisfaction with the concern shown them by their physicians, and a lack of satisfaction with how welcome and comfortable they are made to feel by office staff. Conclusions: Prescription primary non-adherence is prevalent in the rural

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Supplemental insurance and use of effective cardiovascular drugs among elderly medicare beneficiaries with coronary heart disease

Cited by 52 publications

References 21 publications

Effect of Prescription Drug Coverage on the Elderly's Use of Prescription Drugs

Effect of Prescription Drug Coverage on the Elderly's Use of Prescription Drugs

Persistence With Lipid-Lowering Therapy: Influence of the Type of Lipid-Lowering Agent and Drug Benefit Plan Option in Elderly Patients

Primary Medication Adherence in a Rural Population: The Role of the Patient-Physician Relationship and Satisfaction with Care

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