Evidence map›Paper›PMID 34397865›Full record

ArticleMedicine2021

A comparison between the effects of drug costs and share of family income on drug costs in determining drug price.

Xiaobei Dong, Chi Chun Steve Tsang, Anoop Kotian, Jason Zeng, Michael Tran, Junling Wang

Open access · goldAbstract read
In one paragraph

Article in Medicine, 2021. 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
0.6field-weighted citation impact, top 18% of its field
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, 5 citations in OpenAlex.

  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

6 authors at 1 institution in 2 countries.

Xiaobei DongDepartment of Clinical Pharmacy and Translational Science, College of Pharmacy, University of Tennessee Health Science Center, 881 Madison Avenue, Room 214, Memphis, TN.ORCID 0000-0002-7710-1518
Chi Chun Steve TsangDepartment of Clinical Pharmacy and Translational Science, College of Pharmacy, University of Tennessee Health Science Center, 881 Madison Avenue, Room 212, Memphis, TN.
Anoop KotianCollege of Pharmacy, University of Tennessee Health Science Center, 881 Madison Avenue, Memphis, TN.
Jason ZengCollege of Pharmacy, University of Tennessee Health Science Center, 881 Madison Avenue, Memphis, TN.
Michael TranCollege of Pharmacy, University of Tennessee Health Science Center, 881 Madison Avenue, Memphis, TN.
Junling WangDepartment of Clinical Pharmacy and Translational Science, College of Pharmacy, University of Tennessee Health Science Center, 881 Madison Avenue, Room 221, Memphis, TN.
University of Tennessee Health Science Center · US

Funding

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 AG049696NIA NIH HHS R01AG049696
6 · The paper itself

Abstract

abstractHigh health care and medication expenditures pose a financial burden on Americans seeking care. It is imperative to determine the role of affordability in influencing access to health care and medications.To investigate the association between financial burden and health care access by comparing the effects of absolute and relative financial burdens, measured by total health care/medication expenditure (Expenditure) and health care/medication expenditure as a share of annual family income (Expenditure Share), respectively.Delay in receiving health care services and delay in obtaining prescription medications.A cross-sectional analysis of the 2017 Medical Expenditure Panel Survey using multivariate logistic regressions with Expenditure and Expenditure Share variables standardized to facilitate comparison.While both absolute and relative financial burdens were found to be positively associated with the outcomes, the relative measure had a significantly higher association that was about twice as much as the absolute one. For the outcome of delay in getting health care, the standardized odds ratios (OR) for health care expenditure and health care expenditure as a share of family income were 1.13 (95% confidence interval [CI] = 1.09-1.18) and 1.25 (95% CI = 1.20-1.32), respectively. For the outcome of delay in getting medications, the standardized OR for medication expenditure and medication expenditure as a share of family income were 1.11 (95% CI = 1.08-1.15) and 1.23 (95% CI = 1.18-1.29), respectively.The study illustrated the importance of including income in policy considerations intended to balance value, access, and affordability. Specifically, income should be included in measures assessing the value of medications.

Indexed as

Cost of IllnessCosts and Cost AnalysisHealth ExpendituresHealth Services AccessibilityDrug CostsFamily CharacteristicsFemaleFinancial StressHealth Services Needs and DemandHumansIncomeMaleMiddle AgedPrescription DrugsUnited StatesPrescription Drugs

Identifiers

PMID34397865
PMCPMC8341252
OpenAlexW3193722447

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.