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- W2159179436 abstract "We sought to assess the relationship between patient cost sharing; medication adherence; and clinical, utilization, and economic outcomes.We conducted a literature review of articles and abstracts published from January 1974 to May 2008. Articles were identified using PubMed, Ovid, medline, Web of Science, and Google Scholar databases. The following terms were used in the search: adherence, compliance, copay, cost sharing, costs, noncompliance, outcomes, hospitalization, utilization, economics, income, and persistence.We identified and included 160 articles in the review. Although the types of interventions, measures, and populations studied varied widely, we were able to identify relatively clear relationships between cost sharing, adherence, and outcomes. Of the articles that evaluated the relationship between changes in cost sharing and adherence, 85% showed that an increasing patient share of medication costs was significantly associated with a decrease in adherence. For articles that investigated the relationship between adherence and outcomes, the majority noted that increased adherence was associated with a statistically significant improvement in outcomes.Increasing patient cost sharing was associated with declines in medication adherence, which in turn was associated with poorer health outcomes." @default.
- W2159179436 created "2016-06-24" @default.
- W2159179436 creator A5011318942 @default.
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- W2159179436 creator A5044780599 @default.
- W2159179436 creator A5066102500 @default.
- W2159179436 creator A5079071713 @default.
- W2159179436 date "2012-01-01" @default.
- W2159179436 modified "2023-10-13" @default.
- W2159179436 title "How patient cost-sharing trends affect adherence and outcomes: a literature review." @default.
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