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A New Measure of Medication Affordability

机译：药物负担能力的新衡量

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摘要

This study developed a new measure of medication affordability that examines out-of-pocket drug expenses relative to available household resources. The authors assessed the spending patterns of ~2.1 million poor households (≤100% federal poverty level) of adults aged 51 and older by Medicaid status. The data were drawn from the 2000-2001 Health and Retirement Study. Household spending was categorized into three broad types: basic living, health care, and discretionary. Older (aged 51 or older) poor households without Medicaid allocated about 72% of their total resources ($17,421, SE $783) to basic living needs. In comparison, those with Medicaid had scarcer total resources ($12,498, SE $423) and allocated 85% to basic living needs. Medication costs consumed the largest proportion of health care expenses for both types of poor households (Medicaid: $463, SE $67; non-Medicaid: $970, SE $102). After paying for basic living needs and health care costs, these families had, on average, only $16 left each week. Poor families have very few resources available for anything beyond basic living needs, even when they have Medicaid coverage. There is no great reservoir of discretionary funds to pay for increases in cost-sharing under Medicaid and Medicare Part D.
机译：这项研究开发了一种新的药物可负担性量度，可以检查相对于可用家庭资源的自付费药费用。作者通过医疗补助状况评估了51岁及以上成年人中约210万贫困家庭（≤联邦贫困水平≤100％）的消费模式。数据来自2000-2001年健康与退休研究。家庭支出分为三大类：基本生活，医疗保健和自由支配。没有医疗补助的较老的（51岁或更老的）贫困家庭将其总资源的72％（17,421美元，SE $ 783）分配给基本生活需求。相比之下，那些拥有医疗补助的人总资源较少（12,498美元，423美元），并分配了85％的基本生活需求。在这两种类型的贫困家庭中，医疗费用占医疗保健费用的比例最大（Medicaid：463美元，SE $ 67；非Medicaid：970美元，SE $ 102）。这些家庭在支付基本生活需要和医疗保健费用后，平均每周只剩下16美元。贫困家庭几乎没有资源可用于基本生活需求以外的任何方面，即使他们有医疗补助。在Medicaid和Medicare D部分下，没有足够的可支配资金来支付分担费用的增加。

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  • 来源
    《Social Work in Public Health》 |2009年第6期|600-612|共13页
  • 作者

    Becky Briesacher; Dennis Ross-Degnan; Alyce Adams; Anita Wagner; Jerry Gurwitz; Stephan Soumerai;

  • 作者单位

    Division of Geriatric Medicine, University of Massachusetts Medical School, Worchester, Massachusetts, USA;

    Harvard Medical School and Harvard Pilgrim Health Care, Boston, Massachusetts, USA;

    Harvard Medical School and Harvard Pilgrim Health Care, Boston, Massachusetts, USA;

    Harvard Medical School and Harvard Pilgrim Health Care, Boston, Massachusetts, USA;

    Division of Geriatric Medicine, University of Massachusetts Medical School, Worchester, Massachusetts, USA;

    Harvard Medical School and Harvard Pilgrim Health Care, Boston, Massachusetts, USA;

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  • 原文格式 PDF
  • 正文语种 eng
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  • 关键词

    Affordability; low-income; prescription drugs;

    机译：负担能力;低收入;处方药;

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