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- Title
Specific prescription medications as drivers of out-of-pocket payments and cost-related medication non-adherence in the Czech Republic.
- Authors
Krůtilová, Veronika Kočiš; Doubková, Dominika
- Abstract
Objective: Out-of-pocket payments for medications take a substantial part of Czech households' 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' 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.
- Subjects
CZECH Republic; DRUGS; OUT of pocket medical costs; MEDICAL care costs; LOGISTIC regression analysis; COST shifting; HEALTH insurance reimbursement; LUNG injuries; CHRONIC kidney failure; STROKE; ASTHMA; SELF-evaluation; HEALTH status indicators; MYOCARDIAL infarction; DIABETES; CARDIOVASCULAR diseases; DESCRIPTIVE statistics; PATIENT compliance; DATA analysis software; INSURANCE; ECONOMICS
- Publication
KONTAKT - Journal of Nursing & Social Sciences related to Health & Illness, 2021, Vol 23, Issue 2, p120
- ISSN
1212-4117
- Publication type
Article
- DOI
10.32725/kont.2021.020