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Medication utilization in an urban homebound population.

Ian M Kronish1, Alex D Federman, R Sean Morrison

  • 1Division of General Internal Medicine, Mount Sinai School of Medicine, New York, New York, USA. ian.kronish@mssm.edu

The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences
|April 14, 2006
PubMed
Summary

Medically homebound adults often face significant out-of-pocket medication costs, especially those without prescription drug coverage. This financial burden may impact their access to necessary treatments.

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Area of Science:

  • Geriatrics
  • Health Services Research
  • Pharmacoeconomics

Background:

  • The aging U.S. population is increasing the number of medically homebound adults.
  • Little is known about the healthcare utilization of this demographic.
  • This study characterizes the health status and medication use of homebound adults.

Purpose of the Study:

  • To characterize the health status of homebound adults.
  • To analyze medication utilization patterns in this population.
  • To identify factors associated with medication use among homebound adults.

Main Methods:

  • Retrospective cross-sectional analysis of 415 homebound adults in New York City.
  • Medication numbers obtained from formularies and home visits.

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  • Sociodemographic and disease characteristics abstracted from charts; out-of-pocket costs estimated for uninsured patients.

    • Main Results:

    • The cohort had a mean of 8.2 medications per month; older age was associated with fewer medications.
    • Higher Charlson comorbidity scores correlated with more medications.
    • 27% lacked prescription drug coverage, with an estimated median monthly out-of-pocket cost of $223 for uninsured patients.

    Conclusions:

    • Homebound patients without prescription drug coverage may face substantial financial burdens due to medication costs.
    • Further research is needed to determine if these costs create a barrier to care.
    • Understanding medication costs is crucial for improving healthcare access for homebound individuals.