Related Experiment Video
Updated: Jul 5, 2025
07:13
Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform
Published on: April 12, 2021
4.3K
Changes in Medication Utilization and Adherence Associated with Homeless Adults' Entry into Permanent Supportive
Donald S Bourne1, Lingshu Xue2, Mara A G Hollander3
1Department of Health Policy and Management, School of Public Health, University of Pittsburgh, Pittsburgh, PA, USA. dsb65@pitt.edu.
Journal of General Internal Medicine
|January 24, 2024
Summary
Permanent supportive housing (PSH) programs increased prescription fills and antidepressant adherence for Medicaid enrollees. These findings support PSH expansion for individuals experiencing homelessness.
Area of Science:
- Health Services Research
- Public Health Policy
- Medication Adherence Studies
Background:
- Permanent supportive housing (PSH) programs are expanding, impacting healthcare use.
- Little is known about PSH's effect on prescription drug use for chronic conditions in unstable housing populations.
Purpose of the Study:
- To evaluate the impact of PSH on medication utilization and adherence.
- Focus on Medicaid enrollees in Pennsylvania experiencing housing instability.
Main Methods:
- Difference-in-differences study design.
- Compared PSH participants (n=1375) with a matched comparison cohort (n=5405).
- Analyzed prescription fills, proportion of days covered (PDC), and adherence (PDC ≥ 80%) for key medication classes.
Main Results:
- PSH cohort showed a 4.77% relative increase in overall prescription fills compared to the control group.
- Antidepressant adherence increased by 7.41% in the PSH cohort.
- No statistically significant differences in adherence for other medication classes were observed.
Conclusions:
- PSH participation is linked to higher overall prescription medication use.
- Improved adherence to antidepressant medications was observed in PSH participants.
- Findings support policy initiatives to expand PSH for homeless Medicaid enrollees.
Related Concept Videos
01:28Drug Therapy
44
The advent of drug therapy has profoundly shaped modern mental health care, providing targeted treatments for a range of psychological disorders. Psychotherapeutic drugs, classified into antianxiety, antidepressant, and antipsychotic medications, address symptoms across anxiety disorders, mood disorders, and schizophrenia. While these medications have transformed patient outcomes, they require careful management due to their potential side effects and limitations.
Antianxiety Medications
Antianxiety Medications
44
01:29Documentation in Long-Term and Home Healthcare Setting
892
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
892
01:26Psychosis: Goals of Pharmacotherapy
131
Antipsychotic drugs are a crucial treatment method for acute and chronic psychoses, bipolar illness, and behavioral disorders. The selection of these drugs depends on several factors, including the state of the disease, clinical judgment, possible drug interactions, and the patient's sensitivity to adverse effects. In immediate scenarios, such as delirium and dementia, short-term treatment with low doses of high-potency typical or atypical agents can effectively manage symptom exacerbation.
131
01:30Community Based Intervention
43
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
43
01:30Specialized Care Centers and Settings-II
726
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
726
01:21Factors Affecting Drug Response: Overview
2.0K
When it comes to infants and young children, they are typically administered smaller doses of medication in comparison to adults. This is primarily because their organ functions still need to fully develop, meaning their bodies are not as efficient at metabolizing or eliminating drugs. Additionally, their blood-brain barrier is more permeable than in adults. As a result, high concentrations of drugs can easily penetrate the central nervous system (CNS), potentially leading to neurological...
2.0K