A Conceptually Based Approach to understanding Chronically Ill Patients' Responses to Medication Cost Pressures  

Oleh:

Piette, John D. ; Heisler, Michele ; Horne, Robert ; Alexander, G. Caleb

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Social Science & Medicine (www.elsevier.com/locate/sosscimed) vol. 62 no. 4 (Feb. 2006), page 846-857.
Topik: MEDICATION; adherence; cost of care; pharmaceuticals; chrnic disease; access to care; health policy

Ketersediaan

Perpustakaan Pusat (Semanggi) Nomor Panggil: SS53.2 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

Lihat Detail Induk

Isi artikel

Prscription medications enhance the well being of most chronically ill patients. Many individuals, however struggle with how to pay for their treatments and as a result experience problems with self care and health maintenance. Although studies have documented that high put of pocket costs are associated with medication non adherence, little research on prescription cost sharing has been theoretically grounded in knowledge of the more general determinants of patients self management behaviors and chronic disease outcomes. We present a conceptual framework for understanding the influence of patient, medication, clinician and health system factors on individuals' responses to medication costs. We review what is known about how these factors influence medication adherence, identity possible strategies through which clinicians, health systems and policy makers may assist patients budened by their medication costs and highlight areas in need of further research. Although medication costs represent a burden to chronically ill patients worldwide, most patients report using their medication as prescribed despite the costs, and others report cost related underuse despite an apparent ability to afford those treatments. The cost adherence relationship is modified by contextual factors, including patients' characteristics (e.g. age, ethnicity and attituted toward medications), the type of medications they are using (e. g. the complexity of soding and the drug's clinical target), clinical factors (e.g. choice of first line agent and communication about medication costs) and health system factors (e.g. efforts to influence clinicians prescribing and to help patients apply for financial assistance programs). Understanding these relationships will enable clinicians and policy makers to better design pharmacy ebenfits and assist patients in taking their medication as prescribed. The next generation of studies ecamining the consequences of prescription drug costs should expand our knowledge of the ways in which these co factors influence patients' responses to medication cost pressures.

Opini Anda

Klik untuk menuliskan opini Anda tentang koleksi ini!

Kembali