Axon David R, Barrios Leonard P
Department of Pharmacy Practice and Science, College of Pharmacy, University of Arizona, Tucson, AZ 85721, USA.
Center for Health Outcomes and Pharmacoeconomic Research, College of Pharmacy, University of Arizona, Tucson, AZ 85721, USA.
Medicines (Basel). 2022 Feb 22;9(3):17. doi: 10.3390/medicines9030017.
the objective of this retrospective, cross sectional study was to assess the relationship between different levels of perceived health status and prescription medication expenditures among United States adults aged ≥50 years with self-reported pain. using 2019 Medical Expenditure Panel Survey (MEPS) data, four levels of perceived health status were formed (excellent, very good, good, and fair/poor health). Differences between characteristics in the groups were compared using chi square tests. Adjusted linear regression models, using logged positive annual prescription medication expenditures, were constructed to assess differences in prescription medication expenditures between levels of perceived health. a total of 4826 individuals were included in the study. Adjusted linear regression analysis indicated those who reported excellent health had 65.8% lower annual prescription medication expenditures than those with fair/poor health. Those with very good health had 49.7% lower annual prescription medication expenditures than those with fair/poor health, while those with good health had 27.2% lower annual prescription medication expenditures than those with fair/poor health. better perceived health status was generally associated with relatively lower prescription medication expenditures. Further research is needed to investigate if this pattern is also observed for other categories of healthcare expenditures and in other populations.
这项回顾性横断面研究的目的是评估美国50岁及以上有自我报告疼痛的成年人中，不同健康状况感知水平与处方药支出之间的关系。利用2019年医疗支出面板调查（MEPS）数据，形成了四个健康状况感知水平（健康状况极佳、非常好、良好以及一般/较差）。使用卡方检验比较各组特征之间的差异。构建了调整线性回归模型，使用年度处方药支出的对数正值来评估不同健康状况感知水平之间的处方药支出差异。该研究共纳入4826名个体。调整线性回归分析表明，报告健康状况极佳的人每年的处方药支出比健康状况一般/较差的人低65.8%。健康状况非常好的人每年的处方药支出比健康状况一般/较差的人低49.7%，而健康状况良好的人每年的处方药支出比健康状况一般/较差的人低27.2%。总体而言，更好的健康状况感知水平与相对较低的处方药支出相关。需要进一步研究以调查在其他医疗保健支出类别以及其他人群中是否也观察到这种模式。
