Document Detail


Economic grand rounds: did Medicare Part D improve access to medications?
MedLine Citation:
PMID:  20123814     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This study examined medication use among Medicare beneficiaries and dually eligible beneficiaries before and after the implementation of Medicare Part D on January 1, 2006. Nationally representative 2004-2006 data from the Medical Expenditure Panel Survey were used. Two large classes of psychotropic medications (antidepressant and antipsychotic medications) and two large classes of nonpsychotropic medications (lipid-lowering and antihypertensive agents) were examined to determine whether changes in prescription patterns occurred as a result of the implementation of Part D. There was no strong evidence that Part D was associated with large changes in access to medications in the four classes of medications examined here.
Authors:
Marisa Elena Domino; Joel F Farley
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Psychiatric services (Washington, D.C.)     Volume:  61     ISSN:  1557-9700     ISO Abbreviation:  Psychiatr Serv     Publication Date:  2010 Feb 
Date Detail:
Created Date:  2010-02-03     Completed Date:  2010-05-03     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9502838     Medline TA:  Psychiatr Serv     Country:  United States    
Other Details:
Languages:  eng     Pagination:  118-20     Citation Subset:  IM    
Affiliation:
Department of Health Policy and Management, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, 1104G McGavran-Greenberg Hall, CB#7411, Chapel Hill, NC 27599-7411, USA. domino@unc.edu
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MeSH Terms
Descriptor/Qualifier:
Aged
Antidepressive Agents / economics*,  therapeutic use
Antihypertensive Agents / economics*,  therapeutic use
Antilipemic Agents / economics*,  therapeutic use
Antipsychotic Agents / economics*,  therapeutic use
Drug Costs / statistics & numerical data*
Drug Utilization / trends
Health Expenditures / standards
Health Services Accessibility / economics*
Humans
Medicare Part D / economics*
Physician's Practice Patterns
United States
Utilization Review / statistics & numerical data
Chemical
Reg. No./Substance:
0/Antidepressive Agents; 0/Antihypertensive Agents; 0/Antilipemic Agents; 0/Antipsychotic Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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