Patient-reported financial barriers to adherence to treatment in neurology

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Patient-reported financial barriers to adherence to treatment in neurology

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Title: Patient-reported financial barriers to adherence to treatment in neurology
Author: Moura, Lidia MVR; Schwamm, Eli L; Moura Junior, Valdery; Seitz, Michael P; Hoch, Daniel B; Hsu, John; Schwamm, Lee H

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Citation: Moura, Lidia MVR, Eli L Schwamm, Valdery Moura Junior, Michael P Seitz, Daniel B Hoch, John Hsu, and Lee H Schwamm. 2016. “Patient-reported financial barriers to adherence to treatment in neurology.” ClinicoEconomics and Outcomes Research: CEOR 8 (1): 685-694. doi:10.2147/CEOR.S119971.
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Abstract: Objective: Many effective medical therapies are available for treating neurological diseases, but these therapies tend to be expensive and adherence is critical to their effectiveness. We used patient-reported data to examine the frequency and determinants of financial barriers to medication adherence among individuals treated for neurological disorders. Patients and methods Patients completed cross-sectional surveys on iPads as part of routine outpatient care in a neurology clinic. Survey responses from a 3-month period were collected and merged with administrative sources of demographic and clinical information (eg, insurance type). We explored the association between patient characteristics and patient-reported failure to refill prescription medication due to cost in the previous 12 months, termed here as “nonadherence”. Results: The population studied comprised 6075 adults who were presented between July and September 2015 for outpatient neurology appointments. The mean age of participants was 56 (standard deviation: 18) years, and 1613 (54%) were females. The patients who participated in the surveys (2992, 49%) were comparable to nonparticipants with respect to gender and ethnicity but more often identified English as their preferred language (94% vs 6%, p<0.01). Among respondents, 9.8% (n=265) reported nonadherence that varied by condition. These patients were more frequently Hispanic (16.7% vs 9.8% white, p=0.01), living alone (13.9% vs 8.9% cohabitating, p<0.01), and preferred a language other than English (15.3% vs 9.4%, p=0.02). Conclusion: Overall, the magnitude of financial barriers to medication adherence appears to vary across neurological conditions and demographic characteristics.
Published Version: doi:10.2147/CEOR.S119971
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