PMID: 16524358Mar 10, 2006Paper

Medication costs as a primary cause of nonadherence in the elderly

The Consultant Pharmacist : the Journal of the American Society of Consultant Pharmacists
Tom Lynch

Abstract

Many elderly enrolling in the Medicare Part D prescription drug benefit, which began January 1, 2006, have low annual incomes and few countable assets. Although some are eligible for special assistance to pay for prescription medications, many others will still have significant out-of-pocket expenses while enrolled. The inability to pay for medications is an important cause of nonadherence in the elderly and has been associated with an increase in adverse drug events, acute hospitalizations, and nursing home admissions. This case describes a 77-year-old woman residing in a retirement community who was failing to respond to drug therapy for her hypertension and diabetes. The physician was unaware of her inability to pay for medications, and the patient was too embarrassed to discuss the issue. The case demonstrates some of the techniques that a pharmacist can use to adjust a patient's medication regimen to reduce the cost load, improve adherence, and maintain treatment goals.

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Citations

Feb 18, 2009·Drugs & Aging·Jacquelyn L Bainbridge, J Mark Ruscin
Jan 16, 2007·The American Journal of the Medical Sciences·Ali A Rizvi
Aug 7, 2007·Lancet·Sofia GruskinDaniel Tarantola
May 5, 2012·The International Journal of Pharmacy Practice·Kharis BurnsDavid Peiris
Dec 18, 2013·Research in Social & Administrative Pharmacy : RSAP·Izadora M C BarrosDivaldo P Lyra
May 24, 2008·American Journal of Health-system Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists·Amber CronkBarbara Morris
Apr 1, 2008·Ciência & saúde coletiva·Cristiane Hoffmeister RochaMaria Cristina Werlang

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