Evidence map›Paper›PMID 27914950›Full record

Observational studyResearch in social & administrative pharmacy : RSAP2017

Access to medications for medicare enrollees related to race/ethnicity: Results from the 2013 Medicare Current Beneficiary Survey.

Deborah A Taira, Chengli Shen, Marshaleen King, Doug Landsittel, Mary Helen Mays, Tetine Sentell, Janet Southerland

Abstract readObservational Study
In one paragraph

Observational study in Research in social & administrative pharmacy : RSAP, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Deborah A TairaDaniel K. Inouye College of Pharmacy, University of Hawaii at Hilo, Hilo, HI, USA. Electronic address: dtjuarez@hawaii.edu.
Chengli ShenSection on Biomarkers and Prediction Modeling, Department of Medicine, University of Pittsburgh, Pittsburgh, PA, USA.
Marshaleen KingMorehouse School of Medicine, Atlanta, GA, USA.
Doug LandsittelSection on Biomarkers and Prediction Modeling, Department of Medicine, University of Pittsburgh, Pittsburgh, PA, USA.
Mary Helen MaysPuerto Rico Clinical and Translational Research Consortium, University of Puerto Rico Medical Sciences Campus, USA.
Tetine SentellOffice of Public Health Studies, University of Hawaii at Manoa, Honolulu, HI, USA.
Janet SoutherlandMeharry Medical College, School of Dentistry, Nashville, TN, USA.

Funding

STEERING COMMITTEEU54MD008149 · NIMHD · MOREHOUSE SCHOOL OF MEDICINE · PI OFILI, ELIZABETH O. · 2012 to 2018
$21.1M
RESEARCH DESIGN AND BIOSTATISTICS COREU54MD007584 · NIMHD · UNIVERSITY OF HAWAII AT MANOA · PI HEDGES, JERRIS ROBERT, MOKUAU, NOREEN · 2012 to 2018
$21.1M
Expanding National Capacity in PCOR through Training (ENACT)R25HS023185 · AHRQ · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI LANDSITTEL, DOUGLAS P · 2014 to 2018
$2.1M
AHRQ HHS R25 HS023185NIMHD NIH HHS U54 MD007584NIMHD NIH HHS U54 MD008149
6 · The paper itself

Abstract

backgroundPrescription medications are taken by millions of Americans to manage chronic conditions and treat acute conditions. These medications, however, are not equally accessible to all.

objectiveTo examine medication access by race/ethnicity among Medicare beneficiaries.

methodsUsing the 2013 Medicare Current Beneficiary Survey (n = 10.515), this study examined access to medications related to race/ethnicity, comparing non-Hispanic blacks and Hispanics to whites. Multivariable logistic regression models were estimated, controlling for age, gender, income, education, chronic conditions, and type of drug coverage.

resultsNon-Hispanic blacks were less satisfied than whites with amount paid for prescriptions [OR = 0.69,95%CI(0.55,0.86)], the list of drugs covered by their plan [OR = 0.69,95%CI(0.56,0.85)], and finding a pharmacy that accepts their drug coverage [OR = 0.59,95%CI(0.48,0.72)], after adjustment. Low-income individuals were more likely to report not filling a prescription and taking less medication than prescribed. Compared to beneficiaries with excellent health, those with poor, fair, or good health were less satisfied with access. Access was also diminished for patients with depression, diabetes, and chronic obstructive pulmonary disease, emphysema or asthma.

conclusionPossible interventions for non-Hispanic blacks might include assisting them in finding the best drug plan to meeting their needs, connecting them to medication assistance programs, and discussing convenience of pharmacy with patients.

Indexed as

Health Services AccessibilityPrescription DrugsAgedEthnicityFemaleHealth StatusHumansMaleMedicareRacial GroupsRegression AnalysisSocioeconomic FactorsSurveys and QuestionnairesUnited StatesPrescription DrugsAccess to careMedicareMedication adherenceRace/ethnicity

Identifiers

PMID27914950
PMCPMC5500432

What OpenQuestion holds

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Registered trials

None linked

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.