接受家庭和社区服务的医疗补助计划使用者的药物使用情况。
Medication use among Medicaid users of home and community-based services.
作者信息
Shinogle Judith, Wiener Joshua M
机构信息
RTI International.
出版信息
Health Care Financ Rev. 2006 Fall;28(1):103-16.
Abstract
This study examines factors associated with access to medications for older persons and younger adults with physical disabilities who use Medicaid home and community-based services (HCBS). Using data from a six-State survey, we find the large majority of this population receives the medications it needs and has needed assistance in taking these drugs. However, 6.3 percent of this population reports unmet medication needs with financial access listed as the primary reason. Lack of transportation increases the probability of unmet need, while increased satisfaction with paid help lowers this probability. This study highlights the need to study the interaction of Medicaid, social services programs, and financial barriers for this disabled population.
摘要
本研究考察了使用医疗补助家庭和社区服务（HCBS）的老年人及身体残疾的年轻人获取药物的相关因素。利用来自六个州的调查数据，我们发现这一人群中的绝大多数都能获得所需药物，并且在服用这些药物时需要帮助。然而，该人群中有6.3%报告有未满足的药物需求，其中资金获取被列为主要原因。交通不便增加了未满足需求的可能性，而对有偿帮助的满意度提高则降低了这种可能性。本研究强调了针对这一残疾人群体研究医疗补助、社会服务项目和经济障碍之间相互作用的必要性。
相似文献
1
Medication use among Medicaid users of home and community-based services.接受家庭和社区服务的医疗补助计划使用者的药物使用情况。
Health Care Financ Rev. 2006 Fall;28(1):103-16.
2
Unmet needs for home and community-based services among persons with disabilities in Massachusetts.马萨诸塞州残疾人对家庭和社区服务的未满足需求。
Disabil Health J. 2011 Oct;4(4):219-28. doi: 10.1016/j.dhjo.2011.08.003.
3
Unmet need for disability-related health care services and employment status among adults with disabilities in the Massachusetts Medicaid program.马萨诸塞州医疗补助计划中残疾成年人的残疾相关医疗保健服务和就业状况未满足的需求。
Disabil Health J. 2011 Oct;4(4):209-18. doi: 10.1016/j.dhjo.2011.05.003.
4
The relationship between unmet need for home and community-based services and health and community living outcomes.家庭和社区服务未满足的需求与健康及社区生活结果之间的关系。
Disabil Health J. 2022 Apr;15(2):101222. doi: 10.1016/j.dhjo.2021.101222. Epub 2021 Oct 9.
5
Personal care satisfaction among aged and physically disabled Medicaid beneficiaries.老年及身体残疾医疗补助受益人的个人护理满意度
Health Care Financ Rev. 2006 Fall;28(1):69-86.
6
Medicaid home and community-based services: how consumer access is restricted by state policies.医疗补助的家庭和社区服务：州政策如何限制消费者的获得途径。
J Aging Soc Policy. 2015;27(1):21-46. doi: 10.1080/08959420.2015.969078.
7
Health services appraisal and the transition to Medicaid Managed Care from fee for service.医疗服务评估以及从按服务收费向医疗补助管理式医疗的转变。
Disabil Health J. 2016 Apr;9(2):239-47. doi: 10.1016/j.dhjo.2015.10.004. Epub 2015 Oct 24.
8
Are community health workers more effective in identifying persons in need of home and community-based long-term services than standard-passive approaches.与标准的被动式方法相比，社区卫生工作者在识别需要居家和社区长期服务的人员方面是否更有效？
Home Health Care Serv Q. 2019 Jul-Sep;38(3):194-208. doi: 10.1080/01621424.2019.1604461. Epub 2019 May 6.
9
Unmet needs for home and community-based services among frail older Americans and their caregivers.美国体弱老年人及其照护者对家庭和社区为基础的服务的未满足需求。
J Aging Health. 2011 Apr;23(3):529-53. doi: 10.1177/0898264310387132. Epub 2010 Nov 17.
10
Availability of Medicaid home- and community-based services for older Americans and people with physical disabilities.为美国老年人和身体残疾者提供医疗补助家庭和社区服务。
Home Health Care Serv Q. 2018 Jan-Mar;37(1):41-59. doi: 10.1080/01621424.2018.1425175. Epub 2018 Jan 19.
引用本文的文献
1
Association Between Medicaid Prescription Drug Limits and Access to Medications and Health Care Use Among Young Adults With Disabilities.医疗补助处方药限制与残疾青年获得药物和医疗保健服务的关系。
JAMA Health Forum. 2021 Jun 17;2(6):e211048. doi: 10.1001/jamahealthforum.2021.1048. eCollection 2021 Jun.
2
Pilot assessment of patient satisfaction and clinical impact of Medicare Part D in diabetic geriatric patients.医疗保险D部分对老年糖尿病患者的患者满意度及临床影响的初步评估
Pharm Pract (Granada). 2008 Jul;6(3):128-35. doi: 10.4321/s1886-36552008000300003. Epub 2008 Sep 15.
本文引用的文献
1
Personal care satisfaction among aged and physically disabled Medicaid beneficiaries.老年及身体残疾医疗补助受益人的个人护理满意度
Health Care Financ Rev. 2006 Fall;28(1):69-86.
2
The new medicare drug benefit: formularies and their potential effects on access to medications.新的医疗保险药品福利：处方集及其对药品可及性的潜在影响。
J Gen Intern Med. 2005 Jul;20(7):662-5. doi: 10.1111/j.1525-1497.2005.0110.x.
3
An update on Americans' access to prescription drugs.美国人获取处方药情况的最新报道。
Issue Brief Cent Stud Health Syst Change. 2005 May(95):1-4.
4
Medicaid cost containment and access to prescription drugs.医疗补助费用控制与处方药获取
Health Aff (Millwood). 2005 May-Jun;24(3):780-9. doi: 10.1377/hlthaff.24.3.780.
5
Health spending growth slows in 2003.2003年医疗支出增长放缓。
Health Aff (Millwood). 2005 Jan-Feb;24(1):185-94. doi: 10.1377/hlthaff.24.1.185. Epub 2005 Jan 11.
6
Drug affordability and prescription noncompliance in the United States: 1997-2002.美国1997 - 2002年的药品可负担性与处方不依从情况
Clin Ther. 2004 Apr;26(4):607-14. doi: 10.1016/s0149-2918(04)90063-x.
7
Home and community-based services in seven states.七个州的居家和社区服务
Health Care Financ Rev. 2002 Spring;23(3):89-114.
8
Adverse events associated with prescription drug cost-sharing among poor and elderly persons.贫困和老年人群中与处方药费用分担相关的不良事件。
JAMA. 2001;285(4):421-9. doi: 10.1001/jama.285.4.421.
9
Medicare spending for elderly beneficiaries who need long-term care.医疗保险为需要长期护理的老年受益人支出的费用。
Inquiry. 1997;34(4):302-10.
10
Effects of a limiting Medicaid drug-reimbursement benefits on the use of psychotropic agents and acute mental health services by patients with schizophrenia.医疗补助药物报销福利受限对精神分裂症患者使用精神药物及急性心理健康服务的影响。
N Engl J Med. 1994 Sep 8;331(10):650-5. doi: 10.1056/NEJM199409083311006.
Zotero 插件