Evidence map›Paper›PMID 37284916›Full record

ArticleJournal of community health2023

Results of Leveraging Pharmaceutical Patient Assistance Programs to Expand Access to High Cost Medications in a Student-Run Free Clinic.

Julie J Lee, Daniel E Sack, Sharon Kam, Sarah C Reed, Babatunde Carew, Cooper Lloyd, Eleanor O Weaver, Robert F Miller

Abstract read
PubMed Publisher
In one paragraph

Article in Journal of community health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 24% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Blueprint for Comprehensive Diabetes Care in Student-Run Free Clinics: A Model for Accessible Health Care.Clinical diabetes : a publication of the American Diabetes Association · 2025
    Review
  4. 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

8 authors at 2 institutions in 1 country.

Julie J LeeVanderbilt University School of Medicine, Nashville, TN, USA. juliejiyunlee@gmail.com.ORCID http://orcid.org/0000-0002-0752-7601
Daniel E SackVanderbilt University School of Medicine, Nashville, TN, USA.
Sharon KamVanderbilt University School of Medicine, Nashville, TN, USA.
Sarah C ReedVanderbilt University School of Medicine, Nashville, TN, USA.
Babatunde CarewDepartment of General Internal Medicine and Public Health, Vanderbilt University Medical Center, Nashville, TN, USA.
Cooper LloydDepartment of General Internal Medicine and Public Health, Vanderbilt University Medical Center, Nashville, TN, USA.
Eleanor O WeaverDepartment of General Internal Medicine and Public Health, Vanderbilt University Medical Center, Nashville, TN, USA.
Robert F MillerDepartment of General Internal Medicine and Public Health, Vanderbilt University Medical Center, Nashville, TN, USA.
Vanderbilt University · USVanderbilt University Medical Center · US

Funding

MEDICAL SCIENTIST TRAINING PROGRAMT32GM007347 · NIGMS · VANDERBILT UNIVERSITY · PI WILLIAMS, CHRISTOPHER S. · 1985 to 2023
$26.3M
A Couples-Based Intervention and Postpartum Contraceptive Uptake in Zambézia Province, MozambiqueF30MH123219 · NIMH · VANDERBILT UNIVERSITY · PI SACK, DANIEL ELI · 2020 to 2022
$105k
NIMH NIH HHS F30 MH123219
6 · The paper itself

Abstract

High costs make many medications inaccessible to patients in the United States. Uninsured and underinsured patients are disproportionately affected. Pharmaceutical companies offer patient assistance programs (PAPs) to lower the cost-sharing burden of expensive prescription medications for uninsured patients. PAPs are used by various clinics, particularly oncology clinics and those caring for underserved communities, to expand patients' access to medications. Prior studies describing the implementation of PAPs in student-run free clinics have demonstrated cost-savings during the first few years of using PAPs. However, there is a lack of data regarding the efficacy and cost savings of longitudinal use of PAPs across several years. This study describes the growth of PAP use at a student-run free clinic in Nashville, Tennessee over ten years, demonstrating that PAPs can be used reliably and sustainably to expand patients' access to expensive medications. From 2012 to 2021, we increased the number of medications available through PAPs from 8 to 59 and the number of patient enrollments from 20 to 232. In 2021, our PAP enrollments demonstrated potential cost savings of over $1.2 million. Strategies, limitations, and future directions of PAP use are also discussed, highlighting that PAPs can be a powerful tool for free clinics in serving underserved communities.

Indexed as

Prescription DrugsStudent Run ClinicAmbulatory Care FacilitiesCost SavingsDrug CostsHumansMedically UninsuredUnited StatesPrescription DrugsCommunity OutreachMedication AssistanceStudent-Run Free ClinicUnderserved communitiesUninsured patients

Identifiers

PMID37284916
OpenAlexW4379598135

What OpenQuestion holds

Textmetadata
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.