Variation in Drug Prices at Pharmacies: Are Prices Higher in Poorer Areas?

被引:38
作者
Gellad, Walid F. [1 ,2 ]
Choudhry, Niteesh K. [4 ,5 ]
Friedberg, Mark W. [3 ]
Brookhart, M. Alan [4 ,5 ]
Haas, Jennifer S. [4 ,6 ]
Shrank, William H. [4 ,5 ]
机构
[1] Univ Pittsburgh, Sch Med, Div Gen Med, Pittsburgh, PA 15213 USA
[2] RAND Corp, Pittsburgh, PA 15213 USA
[3] Harvard Univ, Sch Publ Hlth, Dept Hlth Policy & Management, Boston, MA 02115 USA
[4] Harvard Univ, Sch Med, Boston, MA 02115 USA
[5] Brigham & Womens Hosp, Dept Med, Div Pharmacoepidemiol & Pharmacoecon, Boston, MA 02115 USA
[6] Brigham & Womens Hosp, Dept Med, Div Gen Med & Primary Care, Boston, MA 02115 USA
关键词
Pharmaceutical pricing; uninsured; COST; HEALTH; DISPARITIES; MEDICATION; MORTALITY; COVERAGE; INCOME; CARE; PAY;
D O I
10.1111/j.1475-6773.2008.00917.x
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
To determine whether retail prices for prescription drugs are higher in poorer areas. The MyFloridarx.com website, which provides retail prescription prices at Florida pharmacies, and median ZIP code income from the 2000 Census. We compared mean pharmacy prices for each of the four study drugs across ZIP code income groups. Pharmacies were classified as either chain pharmacies or independent pharmacies. Prices were downloaded in November 2006. Across the four study drugs, mean prices were highest in the poorest ZIP codes: 9 percent above the statewide average. Independent pharmacies in the poorest ZIP codes charged the highest mean prices. Retail prescription prices appear to be higher in poorer ZIP codes of Florida.
引用
收藏
页码:606 / 617
页数:12
相关论文
共 28 条
[1]   MarketWatch - From 'soak the rich' to 'soak the poor': Recent trends in hospital pricing [J].
Anderson, Gerard F. .
HEALTH AFFAIRS, 2007, 26 (03) :780-789
[2]  
[Anonymous], 2007, PRESCR DRUG TRENDS
[3]  
[Anonymous], NY TIMES
[4]  
[Anonymous], 1997, 759 USDA FOOD RUR EC
[5]   Effects of increased patient cost sharing on socioeconomic disparities in health care [J].
Chernew, Michael ;
Gibson, Teresa B. ;
Yu-Isenberg, Kristina ;
Sokol, Michael C. ;
Rosen, Allison B. ;
Fendrick, A. Mark .
JOURNAL OF GENERAL INTERNAL MEDICINE, 2008, 23 (08) :1131-1136
[6]   Do the poor pay more for food? An analysis of grocery store availability and food price disparities [J].
Chung, CJ ;
Myers, SL .
JOURNAL OF CONSUMER AFFAIRS, 1999, 33 (02) :276-296
[7]  
Congressional Budget Office, 2007, PRESCR DRUG PRIC PRI
[8]  
*COUNC CIT NEW YOR, 2004, PRESCR DRUG PRIC ALL
[9]   The uninsured and the affordability of health insurance coverage [J].
Dubay, Lisa ;
Holahan, John ;
Cook, Allison .
HEALTH AFFAIRS, 2007, 26 (01) :W22-W30
[10]  
Fellowes M., 2006, POVERTY OPPORTUNITY