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Medication cost problems among chronically ill adults in the US: did the financial crisis make a bad situation even

John D Piette1, Ann Marie Rosland, Maria J Silveira

  • 1Ann Arbor VA Healthcare System, Ann Arbor, MI, USA;

Patient Preference and Adherence
|May 17, 2011
PubMed

Insights

Many chronically ill adults faced increased medication cost problems, leading to cost-related non-adherence (CRN) and impacting daily life. The economic downturn exacerbated these financial hardships, potentially worsening health outcomes.

Area of Science:

  • Health Economics
  • Public Health
  • Patient Adherence

Background:

  • Medication costs pose a significant barrier to treatment adherence for chronically ill patients.
  • Economic downturns can disproportionately affect vulnerable populations, including those with chronic illnesses.

Purpose of the Study:

  • To assess the prevalence and impact of cost-related medication non-adherence (CRN) among chronically ill US adults.
  • To examine the influence of the 2008 economic recession on medication cost burdens and adherence behaviors.

Main Methods:

  • A national internet survey was conducted among 27,302 participants in the Harris Interactive Chronic Illness Panel.
  • Data were collected on CRN behaviors and the financial impacts of medication costs on daily life.

Main Results:

  • 66% of respondents aged 40-64 and looking for work reported CRN in 2008; 41% did not fill prescriptions due to cost.
  • Over half of respondents aged 40-64 and nearly two-thirds of those looking for work or disabled reported other financial impacts.
  • Roughly half of all respondents experiencing medication cost hardship reported increased frequency since the economic recession.

Conclusions:

  • The economic crisis significantly increased medication cost burdens and CRN among chronically ill adults, especially those unemployed or disabled.
  • Increased CRN due to financial hardship may lead to adverse health consequences for adults with chronic conditions.
  • Healthcare providers and policymakers should address medication affordability to mitigate negative health impacts.

Keywords:
access to carechronic diseasecost-of-caremedication adherence

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