Evidence map›Paper›PMID 28008353›Full record

ArticleDiversity and equality in health and care2016

Impact of Medicare Part D on Racial and Ethnic Minorities.

JoEllen Jarrett Jamison, Junling Wang, Satya Surbhi, Samantha Adams, David Solomon, Kenneth C Hohmeier, Sharon McDonough, James C Eoff

Abstract read
In one paragraph

Article in Diversity and equality in health and care, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Observational
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

8 authors.

JoEllen Jarrett JamisonThe University of Tennessee Health Science Center, College of Pharmacy, Pharmacy Student, 881 Madison Avenue, Memphis, TN 38163.
Junling WangProfessor, Health Outcomes and Policy Research, Department of Clinical Pharmacy, The University of Tennessee Health Science Center College of Pharmacy, 881 Madison Avenue, Room 221, Memphis, TN 38163.
Satya SurbhiGraduate Research Assistant/Ph.D. Student, Health Outcomes and Policy Research, The University of Tennessee Health Science Center College of Graduate Health Sciences, 956 Court Avenue, Room D224, Memphis, TN 38163.
Samantha AdamsThe University of Tennessee Health Science Center, College of Pharmacy, Pharmacy Student, 881 Madison Avenue, Room 221, Memphis, TN 38163.
David SolomonDepartment of Clinical Pharmacy, The University of Tennessee Health Science Center College of Pharmacy, 881 Madison Avenue, Memphis, TN 38163.
Kenneth C HohmeierAssistant Professor of Clinical Pharmacy, Director of Community Affairs, Department of Clinical Pharmacy, The University of Tennessee College of Pharmacy, 193 Polk Avenue, Room 2D, Nashville, TN 37210.
Sharon McDonoughCoordinator of Assessment and Assistant Professor, University of Tennessee Health Science Center College of Pharmacy, 881 Madison Avenue, Room 252, Memphis, TN 38163.
James C EoffThe University of Tennessee Health Science Center College of Pharmacy, 881 Madison Avenue, Room 242, Memphis, TN 38163.

Funding

Reducing Racial/Ethnic Disparities in Alzheimer's-Type Dementia with MTM ServicesR01AG040146 · NIA · UNIVERSITY OF TENNESSEE HEALTH SCI CTR · PI Junling None Wang · 2011 to 2026
$3.7M
Resolving Racial/Ethnic Disparities Associated with Star Ratings among the ADRD PopulationR01AG049696 · NIA · UNIVERSITY OF TENNESSEE HEALTH SCI CTR · PI WANG, JUNLING NONE · 2015 to 2022
$2.9M
NIA NIH HHS R01 AG040146NIA NIH HHS R01 AG049696
6 · The paper itself

Abstract

objectivesPrior to the implementation of Medicare Part D in the United States, inequalities were found to exist in the use of medications between minority and white beneficiaries. Despite improvements in medication affordability after Medicare Part D implementation, it is still not clear whether the characteristics of the program have improved drug utilization patterns among minorities to the same degree as whites. This review aims to determine whether there were barriers for Medicare Part D to realize its potential to improve prescription drug utilization patterns among minorities.

methodsGoogle Scholar, PubMed, Sciencedirect and Scopus were used to conduct a comprehensive search of the literature published since 2003 when the Medicare Prescription Drug, Improvement, and Modernization Act (MMA) was passed, which authorized the establishment of the Part D program. All studies and documents related to the effects of Medicare Part D on minorities were included to present a relatively comprehensive review on the topic.

resultsEvidence indicated that minorities are not equally benefiting from Medicare Part D prescription drug coverage compared to whites. Examples of characteristics of Medicare Part D that caused significant racial differences in drug utilization include the donut hole, the complexity and number of drug plans, and drug utilization management strategies.

conclusionMedicare Part D has increased access to prescription medications for the elderly. However, continued analysis and research of drug utilization patterns among minorities should be conducted to ensure that all enrollees regardless of race are benefiting equally from Medicare Part D. Identification of these barriers can provide insights on how to improve the program to allow minorities to benefit equally from the Medicare Part D program and remove health inequalities.

Indexed as

Chronic conditionsHealth illiteracyMedicationMinoritiesPrescription drug

Identifiers

PMID28008353
PMCPMC5166707

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Registered trials

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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.