دورية أكاديمية
أعرض في EDS

The Cost of Medications at a Student-Run Free Clinic in New Haven, Connecticut, 2021-2023.

التفاصيل البيبلوغرافية
العنوان: The Cost of Medications at a Student-Run Free Clinic in New Haven, Connecticut, 2021-2023.
المؤلفون: See C; Yale School of Medicine, New Haven, Connecticut.; 65 Dwight Street, Apt 10, New Haven, CT 06511 (claudia.see@yale.edu)., Hegde K; Yale University, New Haven, Connecticut., Reid L; Yale University, New Haven, Connecticut., Shi R; Yale School of Public Health, New Haven, Connecticut., Luthra R; Yale School of Medicine, New Haven, Connecticut., Dong W; Yale School of Medicine, New Haven, Connecticut., Lee V; Yale School of Public Health, New Haven, Connecticut., Kang-Giaimo A; Department of Internal Medicine, Yale New Haven Hospital, Yale School of Medicine, New Haven, Connecticut.
المصدر: Preventing chronic disease [Prev Chronic Dis] 2024 May 16; Vol. 21, pp. E34. Date of Electronic Publication: 2024 May 16.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: U.S. Dept. of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion Country of Publication: United States NLM ID: 101205018 Publication Model: Electronic Cited Medium: Internet ISSN: 1545-1151 (Electronic) Linking ISSN: 15451151 NLM ISO Abbreviation: Prev Chronic Dis Subsets: MEDLINE
أسماء مطبوعة: Original Publication: [Atlanta, Ga.] : U.S. Dept. of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, [2004]-
مواضيع طبية MeSH: Student Run Clinic*/economics, Humans ; Connecticut ; Middle Aged ; Female ; Male ; Adult ; Drug Costs ; Adolescent ; Aged ; Young Adult ; Prescription Drugs/economics
مستخلص: Introduction: Haven is a student-run free clinic in New Haven, Connecticut, that serves more than 500 patients annually. Haven's pharmacy department helps patients obtain medications by providing discount coupons or medications from the clinic's in-house pharmacy, directly paying for medications at local pharmacies, and delivering medications to patients' homes. This study aimed to identify prescriptions that have the highest cost among Haven patients.
Methods: Our sample consisted of all Haven patients who attended the clinic from March 2021 through March 2023. Patients were eligible to be seen at Haven if they were aged 18 to 65 years, lacked health insurance, and lived in New Haven. We determined the lowest cost of each medication prescribed to Haven patients by comparing prices among local pharmacies after applying a GoodRx discount. We defined expensive medication as more than $20 per prescription. We excluded medical supplies.
Results: Of the 594 Haven patients in our sample, 64% (n = 378) required financial assistance and 22% (n = 129) were prescribed at least 1 expensive medication. Among 129 patients prescribed an expensive medication, the mean (SD) age was 45.0 (12.3) years; 65% were women, and 87% were Hispanic or Latino. Median (IQR) household annual income was $14,400 [$0-$24,000]. We identified 246 expensive medications; the median (IQR) price per prescription was $31.43 ($24.00-$52.02). The most frequently prescribed expensive medications were fluticasone propionate/salmeterol (accounting for 6% of all expensive medications), medroxyprogesterone acetate (6%), albuterol sulfate (5%), and rosuvastatin (5%).
Conclusion: The average Haven patient has an income well below the federal poverty level, and many have chronic cardiovascular and respiratory conditions that require expensive medications. Future research should work toward making medications universally affordable.
التعليقات: Erratum in: Prev Chronic Dis. 2024 Jun 13;21:E42. doi: 10.5888/pcd21.230277e. (PMID: 38870032)
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تواريخ الأحداث: Date Created: 20240516 Date Completed: 20240516 Latest Revision: 20240613
رمز التحديث: 20240613
مُعرف محوري في PubMed: PMC11155686
DOI: 10.5888/pcd21.230277
PMID: 38753526
قاعدة البيانات: MEDLINE
الوصف
تدمد:1545-1151
DOI:10.5888/pcd21.230277