Patient Strategies to Cope with High Prescription Medication Costs: Who is Cutting Back on Necessities, Increasing Debt, or Underusing Medications?
dc.contributor.author | Piette, John D. | en_US |
dc.contributor.author | Heisler, Michele M. | en_US |
dc.contributor.author | Wagner, Todd H. | en_US |
dc.date.accessioned | 2006-09-11T15:18:46Z | |
dc.date.available | 2006-09-11T15:18:46Z | |
dc.date.issued | 2005-02 | en_US |
dc.identifier.citation | Heisler, Michele; Wagner, Todd H.; Piette, John D.; (2005). "Patient Strategies to Cope with High Prescription Medication Costs: Who is Cutting Back on Necessities, Increasing Debt, or Underusing Medications?." Journal of Behavioral Medicine 28(1): 43-51. <http://hdl.handle.net/2027.42/44817> | en_US |
dc.identifier.issn | 1573-3521 | en_US |
dc.identifier.issn | 0160-7715 | en_US |
dc.identifier.uri | https://hdl.handle.net/2027.42/44817 | |
dc.identifier.uri | http://www.ncbi.nlm.nih.gov/sites/entrez?cmd=retrieve&db=pubmed&list_uids=15887875&dopt=citation | en_US |
dc.description.abstract | Many chronically ill adults in the United States face high prescription medication costs, yet little is known about the strategies patients adopt to cope with these costs. Through a national survey of 4,055 adults taking prescription medications for one of five chronic diseases, we compared whether respondents cut back on necessities such as food or heat to pay for medications, increased debt, or underused medications because of cost. We also examined the sociodemographic and clinical correlates and differential use by different sub-groups of these three strategies. Overall, 31% of respondents reported pursuing at least one of the strategies over the prior 12 months. Twenty-two percent had cut back on necessities, 16% had increased their debt burden, and 18% had underused prescription drugs. Among patients who underused their medication, 67% also had cut necessities or increased debt. Although we found significant differences in the way patients with varying socio-demographic characteristics responded to medication cost pressures, use of all these strategies was especially common among patients who were low-income, in poor health, and taking multiple medications. | en_US |
dc.format.extent | 93891 bytes | |
dc.format.extent | 3115 bytes | |
dc.format.mimetype | application/pdf | |
dc.format.mimetype | text/plain | |
dc.language.iso | en_US | |
dc.publisher | Kluwer Academic Publishers-Plenum Publishers; Springer Science + Business Media, Inc. | en_US |
dc.subject.other | Chronic Disease | en_US |
dc.subject.other | Medication Adherence | en_US |
dc.subject.other | Public Health/Gesundheitswesen | en_US |
dc.subject.other | Health Psychology | en_US |
dc.subject.other | Psychology | en_US |
dc.subject.other | Clinical Psychology | en_US |
dc.subject.other | Prescription Medication Costs | en_US |
dc.subject.other | Access to Care | en_US |
dc.subject.other | Cost of Care | en_US |
dc.title | Patient Strategies to Cope with High Prescription Medication Costs: Who is Cutting Back on Necessities, Increasing Debt, or Underusing Medications? | en_US |
dc.type | Article | en_US |
dc.subject.hlbsecondlevel | Public Health | en_US |
dc.subject.hlbtoplevel | Health Sciences | en_US |
dc.description.peerreviewed | Peer Reviewed | en_US |
dc.contributor.affiliationum | Department of Veterans Affairs Center for Practice Management and Outcomes Research and Department of Internal Medicine, University of Michigan, Ann Arbor, MI | en_US |
dc.contributor.affiliationum | Department of Veterans Affairs Center for Practice Management and Outcomes Research and Department of Internal Medicine, University of Michigan, Ann Arbor, MI | en_US |
dc.contributor.affiliationother | Department of Veterans Affairs Health Economics Resource Center and Department of Health Research and Policy, Stanford University, Palo Alto, CA | en_US |
dc.contributor.affiliationumcampus | Ann Arbor | en_US |
dc.identifier.pmid | 15887875 | en_US |
dc.description.bitstreamurl | http://deepblue.lib.umich.edu/bitstream/2027.42/44817/1/10865_2005_Article_2562.pdf | en_US |
dc.identifier.doi | http://dx.doi.org/10.1007/s10865-005-2562-z | en_US |
dc.identifier.source | Journal of Behavioral Medicine | en_US |
dc.owningcollname | Interdisciplinary and Peer-Reviewed |
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