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Serving underserved transplant recipients: experience of the Medication Access Program.

Christina A Spivey1, Marie A Chisholm-Burns1, Charlene Garrett2

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The Medication Access Program (MAP) helps low-income solid-organ transplant recipients afford medications. Qualifying for Medicare significantly increased the likelihood of continued enrollment in this vital medication access program.

Keywords:
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Area of Science:

  • Health Services Research
  • Pharmacoeconomics
  • Transplant Medicine

Background:

  • Medication regimen costs pose a significant barrier for underserved solid-organ transplant recipients.
  • Existing programs aim to alleviate the financial burden of essential medications.
  • The Medication Access Program (MAP) was established to support this patient population.

Purpose of the Study:

  • To describe the Medication Access Program (MAP) and its served population of solid-organ transplant recipients.
  • To compare characteristics of recipients with continued versus discontinued MAP enrollment.
  • To identify factors influencing MAP continuation during annual re-enrollment.

Main Methods:

  • Retrospective analysis of MAP renewal applications from 2011-2012.
  • Comparison of demographic, health coverage, income, and medication data between continued and discontinued enrollees.
  • Statistical analyses including chi-square, independent samples t-test, and multivariate logistic regression.

Main Results:

  • Medicare qualification was significantly associated with continued MAP enrollment (P=0.001).
  • Discontinued recipients had a higher number of previous discontinuations (P=0.01).
  • The majority of recipients lacked Medicaid or private health insurance.

Conclusions:

  • MAP effectively increases medication access for low-income transplant recipients.
  • Continuous monitoring of patient history is crucial for identifying at-risk individuals.
  • Proactive implementation of support programs is essential for ensuring continuity of care.