Evidence map›Paper›PMID 31450782›Full record

ArticleInternational journal of environmental research and public health2019

Managing Medication Cost Burden: A Qualitative Study Exploring Experiences of People with Disabilities in Canada.

Shikha Gupta, Mary Ann McColl, Sara J T Guilcher, Karen Smith

Abstract read
In one paragraph

Article in International journal of environmental research and public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
–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

8 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Review
  6. Article
  7. Over-the-Counter Medication Use among Parents in Saudi Arabia.International journal of environmental research and public health · 2023
    Article
  8. 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

4 authors.

Shikha GuptaSchool of Rehabilitation Therapy, Queen's University, Kingston, ON K7L 3N6, Canada. shikha.gupta@queensu.ca.ORCID 0000-0002-5704-1618
Mary Ann McCollSchool of Rehabilitation Therapy, Queen's University, Kingston, ON K7L 3N6, Canada.ORCID 0000-0001-9498-4642
Sara J T GuilcherLeslie Dan Faculty of Pharmacy, University of Toronto, Toronto, ON M5S, Canada.ORCID 0000-0002-9552-9139
Karen SmithDepartment of Physical Medicine and Rehabilitation, School of Medicine, Queen's University, Kingston, ON K7L 3N6, Canada.

Funding

CIHR
6 · The paper itself

Abstract

Despite the abundant literature on the burden of rising costs of prescription medications, there is limited research to explore how these costs affect people and the decisions they are forced to make within the context of disability. In this qualitative study we explored strategies adopted, factors influencing, and the impact of some of these strategies to manage the burden of medication cost among persons with disabilities. We interviewed 12 adults with spinal cord injuries living in Canada, using a general inductive approach to analyze the data. We found that before cutting back on medications due to costs, participants generally tried and sought help from the government, employers, and/or their prescribers to improve their drug coverage. The key factors that participants considered while making decisions on the strategies included the cost and perceived importance of medications, their financial status, other competing needs, and their relationship with the prescribers. While some of their efforts were successful, many participants were still not able to obtain their medications as prescribed. In those cases, patients resorted to rationing strategies such as cutting back on medications, other essential needs, or selling assets. These strategies had serious implications on their health, healthcare utilization, and quality of life.

Indexed as

CanadaDrug CostsFemaleHealth Status DisparitiesHumansMaleMiddle AgedPatient Acceptance of Health CarePersons with DisabilitiesPrescription DrugsQualitative ResearchQuality of LifePrescription DrugsCanadadisabilitymedication costspinal cord injurytreatment burden

Identifiers

PMID31450782
PMCPMC6747197

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.