Medicaid Prescription Drug Policies and Medication Access and Continuity: Findings From Ten States

The aims of this study were to compare medication access problems among psychiatric patients in ten state Medicaid programs, assess adverse events associated with medication access problems, and determine whether prescription drug utilization management is associated with access problems and adverse...

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Veröffentlicht in:Psychiatric services (Washington, D.C.) D.C.), 2009-05, Vol.60 (5), p.601-610
Hauptverfasser: West, Joyce C, Wilk, Joshua E, Rae, Donald S, Muszynski, Irvin S, Stipec, Maritza Rubio, Alter, Carol L, Sanders, Karen E, Crystal, Stephen, Regier, Darrel A
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Sprache:eng
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Zusammenfassung:The aims of this study were to compare medication access problems among psychiatric patients in ten state Medicaid programs, assess adverse events associated with medication access problems, and determine whether prescription drug utilization management is associated with access problems and adverse events. Psychiatrists from the American Medical Association's Masterfile were randomly selected (N=4,866). Sixty-two percent responded; 32% treated Medicaid patients and were randomly assigned a start day and time to report on two Medicaid patients (N=1,625 patients). A medication access problem in the past year was reported for a mean+/-SE of 48.3%+/-2.0% of the patients, with a 37.6% absolute difference between states with the lowest and highest rates (p
ISSN:1075-2730
1557-9700
DOI:10.1176/ps.2009.60.5.601