Medication Adherence Leads To Lower Health Care Use And Costs Despite Increased Drug Spending

被引:351
作者
Roebuck, M. Christopher [1 ]
Liberman, Joshua N. [2 ]
Gemmill-Toyama, Marin [3 ,4 ]
Brennan, Troyen A. [5 ]
机构
[1] CVS Caremark, Hlth Econ & Strateg Res, Hunt Valley, MD USA
[2] CVS Caremark, Strateg Res Analyt & Outcomes, Hunt Valley, MD USA
[3] Ctr Medicare Serv, Baltimore, MD USA
[4] Ctr Medicaid Serv, Baltimore, MD USA
[5] CVS Caremark, Woonsocket, RI USA
关键词
ECONOMIC CONSEQUENCES; LONGITUDINAL COHORT; OLDER POPULATION; NONADHERENCE; DISEASE; HOSPITALIZATION; PREDICTORS; MANAGEMENT; ICD-9-CM; OUTCOMES;
D O I
10.1377/hlthaff.2009.1087
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Researchers have routinely found that improved medication adherence-getting people to take medicine prescribed for them-is associated with greatly reduced total health care use and costs. But previous studies do not provide strong evidence of a causal link. This article employs a more robust methodology to examine the relationship. Our results indicate that although improved medication adherence by people with four chronic vascular diseases increased pharmacy costs, it also produced substantial medical savings as a result of reductions in hospitalization and emergency department use. Our findings indicate that programs to improve medication adherence are worth consideration by insurers, government payers, and patients, as long as intervention costs do not exceed the estimated health care cost savings.
引用
收藏
页码:91 / 99
页数:9
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