Medication Adherence and Healthcare Disparities: Impact of Statin Co-Payment Reduction

DSpace/Manakin Repository

Medication Adherence and Healthcare Disparities: Impact of Statin Co-Payment Reduction

Citable link to this page

 

 
Title: Medication Adherence and Healthcare Disparities: Impact of Statin Co-Payment Reduction
Author: Lewey, Jennifer; Shrank, William; Avorn, Jerry Lewis; Liu, Jun; Choudhry, Niteesh Kumar

Note: Order does not necessarily reflect citation order of authors.

Citation: Lewey, Jennifer, William H. Shrank, Jerry Avorn, Jun Liu, and Niteesh K. Choudhry. 2015. Medication Adherence and Healthcare Disparities: Impact of Statin Co-Payment Reduction. Am. J. Manag. Care. 21(10): 696-704.
Access Status: Full text of the requested work is not available in DASH at this time (“dark deposit”). For more information on dark deposits, see our FAQ.
Full Text & Related Files:
Abstract: Objectives: Minority patients have lower rates of cardiovascularmedication adherence, which may be amenable to co-payment reductions.Our objective was to evaluate the effect of race on adherencechanges following a statin co-payment reduction intervention.Study Design: Retrospective analysis.Methods: The intervention was implemented by a large selfinsuredemployer. Eligible individuals in the intervention cohort(n = 1961) were compared with a control group of employees ofother companies without such a policy (n = 37,320). As a proxy forrace, we categorized patients into tertiles based on the proportionof black residents living in their zip code of residence. Analyseswere performed using difference-in-differences design with generalizedestimating equations.Results: Prior to the new co-payment policy, adherence rateswere higher for individuals living in areas with fewer black residents.In multivariable models adjusting for demographic factors,clinical covariates and baseline trends, the co-payment reductionincreased adherence by 2.0% (P = .14), 2.1% (P = .15) and 6% (P
Published Version: http://www.ajmc.com/journals/issue/2015/2015-vol21-n10/medication-adherence-and-healthcare-disparities-impact-of-statin-co-payment-reduction/P-1
Citable link to this page: http://nrs.harvard.edu/urn-3:HUL.InstRepos:33719951
Downloads of this work:

Show full Dublin Core record

This item appears in the following Collection(s)

 
 

Search DASH


Advanced Search
 
 

Submitters