Specific prescription medications as drivers of out-of-pocket payments and cost-related medication non-adherence in the Czech Republic

Kód výsledku v 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>

Výsledek na webu

<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>

Jazyk výsledku

angličtina

Název v původním jazyce

Specific prescription medications as drivers of out-of-pocket payments and cost-related medication non-adherence in the Czech Republic

Popis výsledku v původním jazyce

Objective: Out-of-pocket payments for medications take a substantial part of Czech households&apos; 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&apos; 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.

Název v anglickém jazyce

Specific prescription medications as drivers of out-of-pocket payments and cost-related medication non-adherence in the Czech Republic

Popis výsledku anglicky

Objective: Out-of-pocket payments for medications take a substantial part of Czech households&apos; 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&apos; 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.

Druh

J_SC - Článek v periodiku v databázi SCOPUS

CEP obor

—

OECD FORD obor

50902 - Social sciences, interdisciplinary

Projekt

—

Návaznosti

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Rok uplatnění

2021

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

Kontakt

ISSN

1212-4117

e-ISSN

1804-7122

Svazek periodika

23

Číslo periodika v rámci svazku

2

Stát vydavatele periodika

NL - Nizozemsko

Počet stran výsledku

6

Strana od-do

120-125

Kód UT WoS článku

000848893500010

EID výsledku v databázi Scopus

2-s2.0-85106485397