Specific prescription medications as drivers of out-of-pocket payments and cost-related medication non-adherence in the Czech Republic
The result's identifiers
Result code in IS VaVaI
<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F62156489%3A43110%2F21%3A43919825" target="_blank" >RIV/62156489:43110/21:43919825 - isvavai.cz</a>
Result on the web
<a href="https://doi.org/10.32725/kont.2021.020" target="_blank" >https://doi.org/10.32725/kont.2021.020</a>
DOI - Digital Object Identifier
<a href="http://dx.doi.org/10.32725/kont.2021.020" target="_blank" >10.32725/kont.2021.020</a>
Alternative languages
Result language
angličtina
Original language name
Specific prescription medications as drivers of out-of-pocket payments and cost-related medication non-adherence in the Czech Republic
Original language description
Objective: Out-of-pocket payments for medications take a substantial part of Czech households' expenditure for health, which could have a negative impact on medication adherence. Therefore, the objective of this study is to explore the impact of prescription medications related to specific health conditions on patients' out-of-pocket payments and cost-related medication non-adherence. Methods: We used the data from the second wave of the European Health Interview Survey. Running the analyses in hierarchical stages, our main interest was the influence of medications related to 21 health conditions. A conventional regression method with robust standard errors was used for the investigation of out-of-pocket payments for prescription medication. Predictors of cost-related medication nonadherence were identified using a logistic regression model. Results: We found that medications for stroke, asthma, myocardial infarction, chronic lung disease, chronic kidney disease, and diabetes contribute to high co-payments. Moreover, cost sharing for stroke, asthma and myocardial infarction medications might have serious implications for desirable consumption as they are associated with medication non-adherence. Conclusions: We conclude that prescription practices and reimbursement policies in relation to medications for stroke, asthma and myocardial infarction should be carefully explored and physicians should be motivated to prescribe medications covered fully or with low co-payments.
Czech name
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Czech description
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Classification
Type
J<sub>SC</sub> - Article in a specialist periodical, which is included in the SCOPUS database
CEP classification
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OECD FORD branch
50902 - Social sciences, interdisciplinary
Result continuities
Project
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Continuities
I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace
Others
Publication year
2021
Confidentiality
S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů
Data specific for result type
Name of the periodical
Kontakt
ISSN
1212-4117
e-ISSN
1804-7122
Volume of the periodical
23
Issue of the periodical within the volume
2
Country of publishing house
NL - THE KINGDOM OF THE NETHERLANDS
Number of pages
6
Pages from-to
120-125
UT code for WoS article
000848893500010
EID of the result in the Scopus database
2-s2.0-85106485397