Pharmacologic issues in geriatric emergency medicine.
Aged; United States; Prescriptions; Drug – Standards – United States; Emergency Medicine – United States; Health Services for the Aged – United States; Pharmacy Service – United States
The challenge for the practitioner is to balance incomplete evidence about efficacy of medications in frail older people against the problems related to adverse drug reactions without denying people potentially valuable pharmacotherapeutic interventions. Prescribers need to be diligent in reviewing medications periodically as well as when new medications are being considered. Review of updated explicit criteria is essential to understand and prescribe appropriately in this special population. Copyright © 2006 by Elsevier Inc.
Blanda M P
Emergency medicine clinics of North America
2006
2006-05
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
<a href="http://doi.org/10.1016/j.emc.2006.01.007" target="_blank" rel="noreferrer noopener">10.1016/j.emc.2006.01.007</a>
Associations between Difficulty Paying Medical Bills and Forgone Medical and Prescription Drug Care.
*Fees; *Health Expenditures; *Health Services Accessibility; *Patient Compliance; *Prescription Fees; Adult; Aged; Bisexuals; Cross-Sectional Studies; Debt; Drug; Family Health; Female; Financial; Health Status; Health Surveys; Homeless Persons; Humans; Male; Medical; Middle Aged; Ohio; Population Characteristics; Prescriptions; Socioeconomic Factors; Special Populations; Young Adult
Problems paying medical bills have been reported to be associated with increased stress, bankruptcy, and forgone medical care. Using the Behavioral Model for Vulnerable Populations developed by Gelberg et al as a framework, as well as data from the 2010 Ohio Family Health Survey, this study examined the relationships between difficulty paying medical bills and forgone medical and prescription drug care. Logistic regression was used to examine associations between difficulty paying medical bills and predisposing, enabling, need (health status), and health behaviors (forgoing medical care). Difficulty paying medical bills increased the effect of lack of health insurance in predicting forgone medical care and had a conditional effect on the association between education and forgone prescription drug care. Those who had less than a bachelor's degree were more likely to forgo prescription drug care than those with a bachelor's degree, but only if they had difficulty paying medical bills. Difficulty paying medical bills also accounted for the relationships between several population characteristics (eg, age, income, home ownership, health status) in predicting forgone medical and prescription drug care. Policies to cap out-of-pocket medical expenses may mitigate health disparities by addressing the impact of difficulty paying medical bills on forgone care.
Baughman Kristin R; Burke Ryan C; Hewit Michael S; Sudano Joseph J; Meeker James; Hull Sharon K
Population Health Management
2015
2015-10
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
<a href="http://doi.org/10.1089/pop.2014.0128" target="_blank" rel="noreferrer noopener">10.1089/pop.2014.0128</a>