1. The Impact of Prescription Medication Cost Coverage on Oral Medication Use for Hypertension and Type 2 Diabetes Mellitus.
- Author
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Amoud R, Grindrod K, Cooke M, and Alsabbagh MW
- Subjects
- Adult, Aged, Aged, 80 and over, Antihypertensive Agents economics, Antihypertensive Agents therapeutic use, Cohort Studies, Cross-Sectional Studies, Drug Costs, Female, Humans, Hypoglycemic Agents economics, Hypoglycemic Agents therapeutic use, Logistic Models, Male, Middle Aged, New Brunswick, Odds Ratio, Ontario, Prescriptions, Diabetes Mellitus, Type 2 drug therapy, Diabetes Mellitus, Type 2 economics, Hypertension drug therapy, Hypertension economics, Insurance Coverage, Insurance, Pharmaceutical Services, Medication Adherence, Prescription Drugs
- Abstract
Background: No previous study, to the best of our knowledge, has examined both the time trend and impact of not having insurance or prescription medication cost coverage (PMCC) on the usage of type 2 diabetes and hypertension oral medications in Ontario and New Brunswick, Canada., Methods: We used data from the Canadian Community Health Survey (CCHS) from 2007 to 2014 to examine the time trend and impact of PMCC. A multivariable-adjusted logistic regression model was fitted., Results: The pseudo-cohort included 23,215 individuals representing a population of approximately 8.7 million people. Overall, 20.0% of respondents reported absence of PMCC. This proportion increased slightly from 19.6% (95% confidence interval [CI] 95% CI [17.5, 22.5]) to 20.7% (95% CI [16.9, 23.1]). Adjusted odds ratios (OR) showed that uninsured individuals were 23% less likely to use their medications (OR = 0.77, 95% CI [0.657, 0.911])., Conclusion: There was a slight decline in PMCC over time and this decline was associated with reduced use of medications for type 2 diabetes and hypertension., (Copyright © 2020 Longwoods Publishing.)
- Published
- 2020
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