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Research article summary:
Access to medicines: cost as an influence on the views and behaviour of patients.
Abstract Extract:
The present paper explores how charges for medicines incurred by patients influence their decisions for managing acute or chronic conditions, and whether prescription cost and affordability issues are discussed in the general practitioner (GP)-patient ... (Full abstract text below) Published 2002May
in Journal: Health Soc Care Community
(Language : eng)
Full Pubmed Extract
This information was retrieved, real-time, on your behalf from the public area of the Pubmed website:
1. Health Soc Care Community.
2002 May;10(3):187-95
Access to medicines: cost as an influence on the views and behaviour of patients.
Schafheutle EI, Hassell K, Noyce PR, Weiss MC
School of Pharmacy and Pharmaceutical Sciences, University of Manchester, Manchester, UK. Ellen.Schafheutle@man.ac.uk
The present paper explores how charges for medicines incurred by patients influence their decisions for managing acute or chronic conditions, and whether prescription cost and affordability issues are discussed in the general practitioner (GP)-patient encounter. People suffering from dyspepsia, hay fever or hypertension, or those taking hormone replacement therapy, were recruited through three community pharmacies in the North-west of England. Six focus groups were conducted with a total of 31 participants, the majority of whom were non-exempt from prescription charges. The management behaviour of those participants who had to pay for their prescriptions, particularly those from less-affluent or deprived backgrounds, was influenced by cost. However, cost was not the overriding influence, with other factors, such as symptom or disease severity, effectiveness, or necessity of treatment, playing a more important part in participants' management decisions. Cost as an issue was reflected in the various strategies used by participants to reduce medication cost, such as not having some prescribed items dispensed, taking a smaller dose or buying a cheaper over-the-counter product. Despite the use of numerous strategies, participants did not talk to their GPs about issues of cost and affordability. Participants felt that paying for prescriptions was their problem. There was a belief that discussing cost issues could jeopardise the doctor-patient relationship. Although not the dominant factor, medication cost nevertheless influenced participants when deciding how to manage their condition. Awareness of the existence of prepayment certificates, which can be bought by patients who require regular medication, was low, and this should be addressed through improved information/dissemination. Despite the high level of prescription items exempt, the current level of the prescription charge is still a barrier to obtaining prescription medicines under the National Health Service to those on lower incomes.
PMID : 12121255 [PubMed - Indexed for MEDLINE]
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Full Author Information
| First Name | LastName | Initials |
| Ellen I | Schafheutle | EI |
| Karen | Hassell | K |
| Peter R | Noyce | PR |
| Marjorie C | Weiss | MC |
Affiliation: School of Pharmacy and Pharmaceutical Sciences, University of Manchester, Manchester, UK. Ellen.Schafheutle@man.ac.uk
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MESH categories and related page links
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Category links from this article:- Adult
- Aged
- Aged, 80 and over
- Communication
- Cost Sharing
- Decision Making
- Drugs, Essential - economics
- England
- Fees, Pharmaceutical
- Female
- Focus Groups
- Health Services Accessibility - economics
- Humans
- Male
- Middle Aged
- Patient Compliance
- Physician-Patient Relations
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