Communication of Drug Affordability between Physicians and Elderly Patients

2003 ◽  
Vol 19 (5) ◽  
pp. 271-277 ◽  
Author(s):  
K Tom Xu ◽  
Brian K Irons
Keyword(s):  
Elderly Patients ◽  
Prescription Drugs ◽  
Telephone Survey ◽  
Insurance Coverage ◽  
Physician Visits ◽  
Patient Medication ◽  
Prescription Drug Use ◽  
Drug Affordability ◽  
Nonfinancial Factors ◽  
Improve Patient

Objective: To identify characteristics among elderly patients associated with patient–provider communications regarding affordability of medications in prescribing and dispensing. Methods: Telephone survey data from consumers ≥65 years old collected in the Texas Tech 5000 Survey were used. The sample size for the analyses was 2,360. Demographics, insurance, financial factors, nonfinancial factors, prescription drug use, and health status were used to identify which subgroup of elderly patients recalled communication with their providers regarding the affordability of prescriptions. Statistical analyses included bivariate analyses and a multivariate logistic regression. Results: Eleven percent of the respondents reported being asked by their physicians whether they could afford prescription drugs. In the multivariate analysis, gender, race, insurance coverage for prescriptions, income, number of physician visits, out-of-pocket expenditure for prescriptions, health, and physicians' participatory decision-making score were found to be associated with patient–provider communications regarding affordability of medications. Conclusions: Further research needs to be conducted to identify ways to improve patient–provider relationships to facilitate communication regarding affordability of medications among elderly patients. Improved communication or sensitivity to prescription affordability has the potential to increase patient medication adherence and improve clinical outcomes.

Recreational Prescription Drug Use Among College Students

NASPA Journal ◽  
2006 ◽  
Vol 43 (1) ◽  
Author(s):  
Ethan A Kolek
Keyword(s):  
Drug Use ◽  
Prescription Drug ◽  
Undergraduate Students ◽  
Prescription Drugs ◽  
Drug Users ◽  
Research University ◽  
Future Research ◽  
Negative Consequences ◽  
Prescription Drug Use ◽  
Other Substances

The purpose of this study was to explore recreational prescription drug use among undergraduate students. Although anecdotal accounts on this subject abound, empirical research is extremely limited. Data from a survey of a random sample of 734 students at a large public research university in the Northeast were examined. Results indicate that a substantial proportion of students reported having used prescription drugs for recreational purposes in the year prior to survey administration. Recreational prescription drug use was positively associated with the use of other substances including alcohol. Recreational prescription drug users were also more likely than other drug users to report negative consequences as a result of their drug use. Implications for future research and for student affairs are discussed.

scholarly journals Exploring the use of cannabis as a substitute for prescription drugs in a convenience sample

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Sinikka L. Kvamme ◽  
Michael M. Pedersen ◽  
Kristine Rømer Thomsen ◽  
Birgitte Thylstrup
Keyword(s):  
Side Effects ◽  
Drug Use ◽  
Prescription Drug ◽  
Prescription Drugs ◽  
Online Survey ◽  
Convenience Sample ◽  
Patient Organizations ◽  
Public Media ◽  
Prescription Drug Use ◽  
The Impact

Abstract Background The use of cannabis as medicine (CaM) both prescribed and non-prescribed has increased markedly in the last decade, mirrored in a global shift in cannabis policy towards a more permissive stance. There is some evidence that cannabis functions as a substitute for prescription drugs, particularly opioids; however, more knowledge is needed on the motives of substitution users, their patterns of use, and perceived effects of substitution use. Aims To explore who substitutes prescription drugs with cannabis, the type of prescription drugs substituted and the type of cannabis used, and the impact that substitution with cannabis has on prescription drug use as well as the motives for substitution in terms of experienced effects and side effects. Methods A self-selected convenience sample was recruited through social media, public media, and patient organizations to take part in an anonymous online survey. Inclusion criteria were 18 years or older and use of cannabis (prescribed or non-prescribed) with a medical purpose. Results The final sample included 2.841 respondents of which the majority (91%) used non-prescribed cannabis, and more than half (54.6%) had used CaM with the purpose of replacing a prescribed drug. Compared to non-substitution users, substitution users were more likely to be women and to use CaM in the treatment of chronic pain and other somatic conditions. Pain medication (67.2%), antidepressants (24.5%), and arthritis medication (20.7%) were the most common types of drugs replaced with CaM. Among substitution users, 38.1% reported termination of prescription drug use, and 45.9% a substantial decrease in prescription drug use. The most frequent type of cannabis used as a substitute was CBD-oil (65.2%), followed by ‘hash, pot or skunk’ (36.6%). More than half (65.8%) found CaM much more effective compared to prescription drugs, and 85.5% that the side effects associated with prescription drug use were much worse compared to use of CaM. Conclusion CaM is frequently used as a substitute for prescription drugs, particularly opioids. More research is needed on the long-term consequences of use of CaM, including the impact from low and high THC cannabis products on specific somatic and mental health conditions.

Prescription Drug and Healthcare Use Among Swedish Patients Treated with Antidepressants

1995 ◽  
Vol 29 (6) ◽  
pp. 566-572 ◽  
Author(s):  
Kerstin Al Bingefors ◽  
Dag Gl Isacson ◽  
Lars Von Knorring ◽  
Björn Smedby
Keyword(s):  
Drug Use ◽  
Ambulatory Care ◽  
Prescription Drug ◽  
Prescription Drugs ◽  
Antidepressant Treatment ◽  
Antidepressant Drugs ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Cross Sectional ◽  
Prescription Drug Use

Objective: To analyze healthcare and prescription drug use among patients taking and those not taking antidepressant drugs in a Swedish community. Design: Cross-sectional study. Setting: General population of the rural Swedish municipality Tierp of approximately 20 000 inhabitants. Participants: All residents of Tierp aged 25 years or older during 1988. Main Outcome Measures: Mean number of ambulatory care visits, hospital bed days, and prescriptions per person; proportion of those taking prescription drugs in different pharmacologic classes. Results: Patients treated with antidepressant drugs had a significantly (p < 0.05) greater use of ambulatory care, hospital care, and prescription drugs than those who did not take antidepressants in the study population. They also had an increased frequency of use of prescription drugs from virtually all pharmacologic classes. Furthermore, the risk for polypharmacy was high in patients treated with antidepressant medications. Conclusions: Those who took antidepressant drugs consumed more health services and prescription drugs than did those not taking an antidepressant. Patients receiving antidepressant treatment may be at serious risk for iatrogenic disease and should be evaluated carefully with respect to concomitant drug use.

Between smart drugs and antidepressants: A cultural analysis of pharmaceutical drug use among university students

2013 ◽  
pp. 31-55
Author(s):  
Johanne Collin ◽  
Julien Simard ◽  
Hugo Collin-Desrosiers
Keyword(s):  
Drug Use ◽  
University Students ◽  
Prescription Drugs ◽  
Cultural Analysis ◽  
Structured Interviews ◽  
Medical Prescription ◽  
Pharmaceutical Drug ◽  
Natural Substances ◽  
Prescription Drug Use ◽  
Pressure Stress

In recent years, there has been a growing concern for the non-medical use of prescription drugs by young adults, and particularly college and university students. These expanding practices of pharmaceutical drug use have been associated with different phenomena such as physical and cognitive enhancement, non-medical prescription drug use and recreational use. All of these various consuming practices involve a blurring of the boundaries between curing, preventing and enhancing and between recreational and productive activities. Some studies show the importance of linking pharmaceutical drug use with broader issues among students in academic settings, such as competitiveness, pressure, stress, depression and mental health issues. The main objective of this article is to explore some of the perceptions and rationales that underlie the use of non-medical and medical prescription drugs, natural products, energy drinks and other pharmaceutical or natural substances among university students in Montreal (Canada). Focus-groups and indepth, semi-structured interviews were realized with a sample of 42 students in order to link the consumption cultures of the participants with other variables, such as their lifestyle, their experience of psychological distress and anxiety and their need of achievement. Focusing on the young population fulfills the function of sociological forecast about the future trends in the expansion of pharmaceutical drug use for the management of everyday life in contemporary Western societies.

scholarly journals Is Primary Care A Substitute or Complement for Other Medical Care? Evidence from Medicaid

2019 ◽  
Vol 22 (1) ◽  
Author(s):  
Jiajia Chen ◽  
Eunkyung van den Berghe ◽  
Robert Kaestner
Keyword(s):  
Primary Care ◽  
Emergency Department ◽  
Prescription Drugs ◽  
Service Provision ◽  
Standard Deviation Increase ◽  
Medicaid Reimbursement ◽  
Percentage Points ◽  
Prescription Drug Use ◽  
Imaging Results ◽  
Limited Support

AbstractIt is widely believed that Medicaid reimbursement for primary care is too low and that these low fees adversely affect access to healthcare for Medicaid recipients. In this article, we exploit changes in Medicaid physician fees for primary care to study the response of primary care visits and services that are complements/substitutes with primary care, including emergency department, hospitalization, prescription drugs, and imaging. Results from our study indicate that higher Medicaid fees for primary care have modest effects. Among non-blind and non-disabled adults, we find that a 25% (or $10) increase in Medicaid fees for primary care is associated with approximately a 5% of a standard deviation increase in the number of primary care visits. For the same group, we also find that the fee increase is associated with an increase in the probability of having any primary care visits of approximately 3 percentage points. For children, changes in Medicaid fees are not significantly related to the number of primary care visits. In terms of other types of care, we find some evidence that Medicaid fees for primary care are associated with prescription drug use, and no evidence that primary care fees are associated with the use of emergency department, inpatient services, or imaging. Overall, our evidence provides, at best, limited support for the large effects of Medicaid fees on service provision sometimes asserted in policy discussions.

scholarly journals Pediatric and adult neurologist perspectives on the challenges of sustaining a transfer clinic

2019 ◽  
Vol 10 (4) ◽  
pp. 356-361 ◽  
Author(s):  
Tadeu A. Fantaneanu ◽  
Claire S. Jacobs ◽  
Claudio De Gusmao ◽  
Ann M. Bergin ◽  
Tracey A. Milligan ◽  
...  
Keyword(s):  
Health Care ◽  
North America ◽  
Patient Care ◽  
Telephone Survey ◽  
Improve Patient Care ◽  
Adult Health ◽  
Transfer Of Care ◽  
Improve Patient ◽  
Adult Health Care

We present a novel epilepsy fellow–driven transfer clinic model and discuss the challenges experienced in finding sustainability; this is timely as many pioneering transition clinics are dissolving across North America. The goal of this clinic was to improve patient care and satisfaction, as measured by a post-visit telephone survey. Unfortunately, our transfer clinic model proved unsustainable due to several factors, broadly categorized as (1) cultural-societal differences between the pediatric and adult health care environments, (2) staffing issues, (3) lack of an established standardized process for transfer of care, and (4) financial and administrative barriers. We suggest potential solutions to these challenges, but the fate of transition and transfer of care clinics may ultimately depend on implementation of practice, policy, and/or financial guidelines.

scholarly journals Development of a risk stratification algorithm to improve patient-centered care and decision making for incident elderly patients with end-stage renal disease

2015 ◽  
Vol 88 (5) ◽  
pp. 1178-1186 ◽  
Author(s):  
Cécile G. Couchoud ◽  
Jean-Baptiste R. Beuscart ◽  
Jean-Claude Aldigier ◽  
Philippe J. Brunet ◽  
Olivier P. Moranne
Keyword(s):  
Decision Making ◽  
Risk Stratification ◽  
Elderly Patients ◽  
Renal Disease ◽  
End Stage Renal Disease ◽  
Patient Centered ◽  
Centered Care ◽  
Stage Renal Disease ◽  
End Stage ◽  
Improve Patient

Insurance Coverage for Prescription Drugs

Medical Care ◽  
1999 ◽  
Vol 37 (9) ◽  
pp. 926-936 ◽  
Author(s):  
Lee A. Lillard ◽  
Jeannette Rogowski ◽  
Raynard Kington
Keyword(s):  
Prescription Drugs ◽  
Insurance Coverage

Prescription Drug Use among Ambulatory Elderly in a Swedish Municipality

1993 ◽  
Vol 27 (9) ◽  
pp. 1120-1125 ◽  
Author(s):  
Tove M. Jörgensen ◽  
Dag G.L. Isacson ◽  
Mats Thorslund
Keyword(s):  
Drug Use ◽  
Prescription Drug ◽  
Prescription Drugs ◽  
Rural Areas ◽  
Total Population ◽  
The Elderly ◽  
Geographic Area ◽  
Prescription Drug Use ◽  
Analgesic Agents ◽  
The Difference

OBJECTIVE: To analyze prescription drug use among the elderly in a Swedish municipality. METHODS: The municipality of Tierp, located in mideastern Sweden, is a well-defined geographic area that includes both rural areas and a few small, industrial towns. All people aged 65 years and older (n=4769) as of 1986 in a total population of 21000 inhabitants were included in the study. Their drug use was studied by registering all prescriptions filled by the pharmacies in the area. RESULTS: Most of the elderly (>70 percent) obtained at least one prescription during the year studied. Drug use was more common among women than men. However, the difference between men and women was much smaller among those aged 85 years or more. The drugs most commonly prescribed were cardiovascular, psychotropic, and analgesic agents. Furthermore, the study showed that simultaneous use of several drugs was quite common. One-fourth of all people aged 65 years and older used drugs from at least four different pharmacologic groups. CONCLUSIONS: Our results revealed widespread use of prescription drugs among the elderly. An important finding was extensive drug use among men aged 85 years or more. This age group is increasing and there is need for further studies of its medication use.

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