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Financial Strain and Medication Adherence among Diabetes Patients in an Integrated Health Care Delivery System: The Diabetes Study of Northern California (DISTANCE).
- Source :
-
Health services research [Health Serv Res] 2016 Apr; Vol. 51 (2), pp. 610-24. Date of Electronic Publication: 2015 Aug 09. - Publication Year :
- 2016
-
Abstract
- Objective: To examine self-reported financial strain in relation to pharmacy utilization adherence data.<br />Data Sources/study Setting: Survey, administrative, and electronic medical data from Kaiser Permanente Northern California.<br />Study Design: Retrospective cohort design (2006, n = 7,773).<br />Data Collection/extraction Methods: We compared survey self-reports of general and medication-specific financial strain to three adherence outcomes from pharmacy records, specifying adjusted generalized linear regression models.<br />Principal Findings: Eight percent and 9 percent reported general and medication-specific financial strain. In adjusted models, general strain was significantly associated with primary nonadherence (RR = 1.37; 95 percent CI: 1.04-1.81) and refilling late (RR = 1.34; 95 percent CI: 1.07-1.66); and medication-specific strain was associated with primary nonadherence (RR = 1.42, 95 percent CI: 1.09-1.84).<br />Conclusions: Simple, minimally intrusive questions could be used to identify patients at risk of poor adherence due to financial barriers.<br /> (© Health Research and Educational Trust.)
- Subjects :
- Adolescent
Adult
Antihypertensive Agents administration & dosage
Antihypertensive Agents economics
California
Delivery of Health Care, Integrated statistics & numerical data
Drug Utilization economics
Female
Humans
Hypoglycemic Agents therapeutic use
Hypolipidemic Agents administration & dosage
Hypolipidemic Agents economics
Male
Middle Aged
Retrospective Studies
Socioeconomic Factors
Diabetes Mellitus drug therapy
Hypoglycemic Agents administration & dosage
Hypoglycemic Agents economics
Medication Adherence statistics & numerical data
Self Report
Subjects
Details
- Language :
- English
- ISSN :
- 1475-6773
- Volume :
- 51
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- Health services research
- Publication Type :
- Academic Journal
- Accession number :
- 26256117
- Full Text :
- https://doi.org/10.1111/1475-6773.12346