ArticleThe American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry2009
Cost-related medication nonadherence among beneficiaries with depression following Medicare Part D.
Article in The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
22 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Pharmaceutical policies: effects of regulating drug insurance schemes.The Cochrane database of systematic reviews · 2022Pooled it
- Pharmaceutical policies: effects of cap and co-payment on rational use of medicines.The Cochrane database of systematic reviews · 2015Pooled it
- Financial Barriers, Mental Health, and Medication Nonadherence Among Individuals With Chronic Pain.Public health challenges · 2026Article
- Prevalence and influencing factors of medication-related burden among patients with late-life depression in typical city of eastern China: a cross-sectional study.BMC public health · 2024Article
- Access to Treatment for Chronic Obstructive Pulmonary Disease in the Americas: A Call for Action. A Joint Perspective from the Brazilian Thoracic Society, Canadian Thoracic Society, Latin American Thoracic Society, and the American Thoracic Society.Annals of the American Thoracic Society · 2024Article
- Developing an Integrated Longitudinal Dataset for Patient-Centered Outcome Measures in Cost-Related Medication Nonadherence.Medical care · 2023Article
- The Impact of Payment Scheme Changes on Medication Adherence and Persistence of Patients Diagnosed with Depression in Korea.International journal of environmental research and public health · 2022Article
- Cost-Related Medication Nonadherence (CRN) on Healthcare Utilization and Patient-Reported Outcomes: Considerations in Managing Medicare Beneficiaries on Antidepressants.Frontiers in pharmacology · 2021Article
- Assessing the Importance of Factors Associated with Cost-Related Nonadherence to Medication for Older US Medicare Beneficiaries.Drugs & aging · 2019Article
- Cost-related delay in filling prescriptions and health care ratings among medicare advantage recipients.Medicine · 2019Observational
- Cost-related medication non-adherence among U.S. adults with diabetes.Diabetes research and clinical practice · 2018Article
- What can we learn about brain donors? Use of clinical information in human postmortem brain research.Handbook of clinical neurology · 2018Review
- Medication Costs and Adherence of Treatment Before and After the Affordable Care Act: 1999-2015.American journal of public health · 2016Article
- How payment scheme affects patients' adherence to medications? A systematic review.Patient preference and adherence · 2016Review
- Persistent medication affordability problems among disabled Medicare beneficiaries after Part D, 2006-2011.Medical care · 2014Article
- Medication affordability gains following Medicare Part D are eroding among elderly with multiple chronic conditions.Health affairs (Project Hope) · 2014Article
- Generic initiation and antidepressant therapy adherence under Medicare Part D.The American journal of managed care · 2013Article
- The relationship between emergency department use and cost-related medication nonadherence among Medicare beneficiaries.Annals of emergency medicine · 2013Article
- Use of prescription drug samples and patient assistance programs, and the role of doctor-patient communication.Journal of general internal medicine · 2011Article
- Impact of Medicare Part D on antidepressant treatment, medication choice, and adherence among older adults with depression.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2011Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
Abstract
contextCost-related medication nonadherence (CRN) was problematic for Medicare beneficiaries with depressive symptoms before Medicare Part D.
objectiveTo estimate changes in CRN and forgoing basic needs to pay for drugs among Medicare beneficiaries with and without depressive symptoms following Part D implementation. DESIGN AND
settingThe authors compared changes in outcomes between 2005 and 2006 before and after Part D with changes between 2004 and 2005 using logistic regression to control for demographic characteristics, health status, and historical trends.
participantsThe community-dwelling sample of the Medicare Current Beneficiary Survey (N = 24,234).
main outcome measuresSelf-reports of CRN (skipping or reducing doses and not obtaining prescriptions) and spending less on basic needs to afford medicines.
resultsThe unadjusted annual prevalence of CRN among beneficiaries with depressive symptoms was 27% (2004), 27% (2005), and 24% (2006), compared with 13%, 12%, and 9% among beneficiaries without depressive symptoms. The annual prevalence of spending less on basic needs was 22% (2004), 23% (2005), and 19% (2006), compared with 8%, 9%, and 5% among beneficiaries without depressive symptoms. Controlling for historical changes and demographic characteristics, CRN did not decline among beneficiaries with depressive symptoms compared with beneficiaries without depressive symptoms (ratio of Part D changes 0.98; 95% confidence interval [CI], 0.73-1.32). Respondents with depressive symptoms seemed less likely to spend less on basic needs compared with individuals without depressive symptoms (0.70; 95% CI, 0.49-1.01); however, this difference was not statistically significant.
conclusionsDespite a Medicare Part D goal to improve medication adherence among mentally ill beneficiaries, the disparity in economic access to medications between beneficiaries with and without depressive symptoms did not improve after the start of Part D.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.