The Effects of Health Plan Copayments on Adherence to Oral Diabetes Medication and Health Resource Utilization

Objective: To assess the effects of copayments on oral diabetes medication adherence, health resource utilization, and expenditure. Methods: Retrospective, observational analysis of medical and pharmacy claims data from PPG Industries employees, retirees, and dependents (2003-2005). Average monthly...

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Veröffentlicht in:	Journal of occupational and environmental medicine 2008-05, Vol.50 (5), p.535-541
Hauptverfasser:	Colombi, Alberto M., Yu-Isenberg, Kristina, Priest, Julie
Format:	Artikel
Sprache:	eng
Schlagworte:	Administration, Oral Age Distribution Aged Biological and medical sciences Deductibles and Coinsurance - economics Deductibles and Coinsurance - statistics & numerical data Diabetes Diabetes Mellitus, Type 2 - drug therapy Diabetes Mellitus, Type 2 - economics Diabetes. Impaired glucose tolerance Diagnostic Tests, Routine - economics Diagnostic Tests, Routine - utilization Effects Endocrine pancreas. Apud cells (diseases) Endocrinopathies Etiopathogenesis. Screening. Investigations. Target tissue resistance Fees, Pharmaceutical Female Financing, Personal - classification Financing, Personal - economics Financing, Personal - statistics & numerical data Health care expenditures Health Expenditures Health Resources - utilization Humans Hypoglycemic Agents - economics Hypoglycemic Agents - therapeutic use Male Medical sciences Middle Aged Occupational health ORIGINAL ARTICLES Patient Compliance - statistics & numerical data Retrospective Studies United States
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Zusammenfassung:	Objective: To assess the effects of copayments on oral diabetes medication adherence, health resource utilization, and expenditure. Methods: Retrospective, observational analysis of medical and pharmacy claims data from PPG Industries employees, retirees, and dependents (2003-2005). Average monthly copayments were stratified low (US$0-9), medium (US$10-19), or high (US$20+). Results: In 2052 individuals, adherence to oral diabetes medication was highest for the low copayment group for both age groups ≥65 years; 84% low, 77% medium, 64% high (P < 0.0001) and
ISSN:	1076-2752 1536-5948
DOI:	10.1097/jom.0b013e31816ed011