What question did this study set out to answer?

To assess how patient cost-sharing affects medication adherence, clinical outcomes, health care resource utilization, and total health care costs.

April 7, 2022Journal of Managed Care & Specialty PharmacyOpen Access

Cost-sharing and adherence, clinical outcomes, health care utilization, and costs: A systematic literature review

View Full Paper

Ask AI

Bookmark

To assess how patient cost-sharing affects medication adherence, clinical outcomes, health care resource utilization, and total health care costs.
Systematic review of literature published between January 2010 and August 2020.
Identified and screened 1,995 records, ultimately including 79 articles.
Extracted data via a standardized template and synthesized findings across medication adherence, clinical endpoints, health care resource utilization, and spending.
Seventy-one of 79 studies (90%) evaluated treatment adherence, persistence, or discontinuation, with the majority demonstrating that higher cost-sharing consistently worsened adherence across disease categories in a dose-dependent manner.
Sixteen studies evaluated utilization, revealing trends where higher cost-sharing was associated with reduced outpatient visits alongside increased inpatient hospitalizations.
Eleven studies assessed expenditures, finding that higher cost-sharing had a neutral to negative effect on total costs, while eliminating copayments led to either reduced or unchanged total spending.

Discussion

No takes yet. Share an insight, caveat, or question.

Implication

Systematic review finds increased patient cost-sharing reduces medication adherence, indicating cost-containment strategies may paradoxically drive inpatient utilization.

Cite This Study

Fusco et al. (2022) studied this question.

synapsesocial.com/papers/69d96324f20ef26330684c5a https://doi.org/10.18553/jmcp.2022.21270

View Full Paper

Ask AI

Bookmark

Implication

Systematic review finds increased patient cost-sharing reduces medication adherence, indicating cost-containment strategies may paradoxically drive inpatient utilization.

Cost-sharing and adherence, clinical outcomes, health care utilization, and costs: A systematic literature review

Key Points

Discussion

Implication

Cite This Study

Cost-sharing and adherence, clinical outcomes, health care utilization, and costs: A systematic literature review

Key Points

Discussion

Implication

Cite This Study

Also Consider

Also Consider