Felland Laurie E, Reschovsky James D
Track Rep. 2009 Jan(22):1-4.
More children and working-age Americans are going without prescription drugs because of cost concerns, according to a new national study by the Center for Studying Health System Change (HSC). In 2007, one in seven Americans under age 65 reported not filling a prescription in the previous year because they couldn't afford the medication, up from one in 10 in 2003. Rising prescription drug costs and less generous drug coverage likely contributed to the growth in nonelderly Americans--from 10.3 percent in 2003 to 13.9 percent in 2007--who went without a prescribed medication. The most vulnerable people--those with low incomes, chronic conditions and the uninsured--continue to face the greatest unmet prescription drug needs. Uninsured, working-age Americans saw the biggest jump in unmet prescription drug needs between 2003 and 2007, with the proportion rising from 26 percent to almost 35 percent. At the same time, a growing proportion of working-age Americans with employer-sponsored insurance reported going without prescription medications. The number of Americans who cannot afford prescription medications is likely to grow as the economy continues to decline and the ranks of the uninsured grow.
根据卫生系统变革研究中心(HSC)的一项新的全国性研究,越来越多的美国儿童和处于工作年龄段的人因费用问题而没有服用处方药。2007年,65岁以下的美国人中有七分之一表示上一年没有按处方拿药,原因是他们负担不起药费,而2003年这一比例为十分之一。处方药成本的上升以及药品保险覆盖范围的缩小,可能导致未服用处方药的美国非老年人数量增加,从2003年的10.3%升至2007年的13.9%。最脆弱的人群——低收入者、慢性病患者和未参保者——仍然面临着最大的未满足的处方药需求。在2003年至2007年期间,未参保的处于工作年龄段的美国人在未满足的处方药需求方面增长幅度最大,比例从26%升至近35%。与此同时,越来越多有雇主提供保险的处于工作年龄段的美国人表示没有服用处方药。随着经济持续衰退以及未参保人数的增加,负担不起处方药的美国人数量可能会上升。