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- Title
Self-reported financial barriers to care among patients with cardiovascular-related chronic conditions.
- Authors
Campbell, David J. T.; King-Shier, Kathryn; Hemmelgarn, Brenda R.; Sanmartin, Claudia; Ronksley, Paul E.; Weaver, Robert G.; Tonelli, Marcello; Hennessy, Deidre; Manns, Braden J.
- Abstract
Background People with chronic conditions who do not achieve therapeutic targets have a higher risk of adverse health outcomes. Failure to meet these targets may be due to a variety of barriers. This article examines self-reported financial barriers to health care among people with cardiovascular-related chronic conditions. Data and methods A population-based survey was administered to western Canadians with cardiovascular-related chronic conditions (n = 1,849). Associations between self-reported financial barriers and statin use, the likelihood of stopping use of prescribed medications, and emergency department visits or hospitalizations were assessed. Results More than 10% respondents reported general financial barriers (12%) and lack of drug insurance (14%); 4% reported financial barriers to accessing medications. Emergency department visits or hospitalizations were 70% more likely among those reporting a general financial barrier. Those reporting a financial barrier to medications were 50% less likely to take statins and three times more likely to stop using prescribed medications. Individuals without drug insurance were nearly 30% less likely to take statins. Interpretation In this population, self-reported financial barriers were associated with lower than recommended medication use and increased likelihood of emergency department visits or hospitalization.
- Subjects
HEALTH insurance; MEDICAL care; CARDIOVASCULAR diseases; PATIENTS; EMERGENCY medical services; HOSPITAL care; BLOOD pressure
- Publication
Health Reports, 2014, Vol 25, Issue 5, p3
- ISSN
0840-6529
- Publication type
Article