Evidence map›Paper›PMID 40538336›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA2025

The administrative burden of medication affordability resources: an environmental scan with implications for health informatics to advance health equity.

Marcy G Antonio, Jennylee Swallow, Rachel Richesson, Christine Carethers, Antoinette B Coe, Divya Jahagirdar, Yung-Yi Huang, Tammy Toscos, Mindy Flanagan, Tiffany C Veinot

Abstract read
In one paragraph

Article in Journal of the American Medical Informatics Association : JAMIA, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

10 authors.

Marcy G AntonioSchool of Information, University of Michigan, Ann Arbor, MI 48109, United States.ORCID 0000-0001-9332-8512
Jennylee SwallowDepartment of Learning Health Sciences, School of Medicine, University of Michigan, Ann Arbor, MI 48109, United States.ORCID 0009-0009-9491-9731
Rachel RichessonDepartment of Learning Health Sciences, School of Medicine, University of Michigan, Ann Arbor, MI 48109, United States.ORCID 0000-0003-0279-7036
Christine CarethersSchool of Information, University of Michigan, Ann Arbor, MI 48109, United States.ORCID 0009-0007-3318-6146
Antoinette B CoeDepartment of Clinical Pharmacy, College of Pharmacy, University of Michigan, Ann Arbor, MI 48109, United States.ORCID 0000-0002-5723-0443
Divya JahagirdarSchool of Information, University of Michigan, Ann Arbor, MI 48109, United States.ORCID 0000-0003-4820-5390
Yung-Yi HuangSchool of Information, University of Michigan, Ann Arbor, MI 48109, United States.ORCID 0009-0008-5567-8536
Tammy ToscosParkview Mirro Center for Research and Innovation, Health Services & Informatics Research, Fort Wayne, IN 46845, United States.ORCID 0000-0002-9679-5359
Mindy FlanaganParkview Mirro Center for Research and Innovation, Health Services & Informatics Research, Fort Wayne, IN 46845, United States.ORCID 0000-0002-7146-5628
Tiffany C VeinotSchool of Information, University of Michigan, Ann Arbor, MI 48109, United States.ORCID 0000-0003-1200-9515

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo characterize and demonstrate how to reduce the administrative burden experienced by patients when navigating medication affordability resources in the United States. MATERIALS AND

methodsInformed by administrative burden theory, we conducted an environmental scan of medication affordability resources for atrial fibrillation, and four common comorbidities (diabetes, heart failure, hypertension, and lipid disorder). We systematically searched for resources (eg, patient assistance programs, savings cards and nonprofit support) and extracted information about types, eligibility criteria, needed documentation, and application processes.

resultsWe identified 66 resources across 12 categories across the five conditions. The resources' varied eligibility criteria, application processes, and requirements for providing sensitive financial documents could introduce multiple administrative costs for patients. DISCUSSION: The volume and complexity of medication affordability resources and related application processes may create substantial administrative burden for patients that could prevent their use-especially when prescribed multiple medications.

conclusionMedication affordability resource informatics tools that reduce administrative burden could advance equitable medication access.

Indexed as

Drug CostsHealth EquityDiabetes MellitusHumansMedical InformaticsUnited Statesconsumer health informaticscost of illnesshealthcare disparitiesmedication adherencesocial determinants of health

Identifiers

PMID40538336
PMCPMC12204073

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.