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Effect of Cost-Sharing on Use of Asthma Medication in Children

Effect of Cost-Sharing on Use of Asthma Medication in Children ARTICLE Effect of Cost-Sharing on Use of Asthma Medication in Children Wendy J. Ungar, MSc, PhD; Anita Kozyrskyj, PhD; Michael Paterson, MSc; Fida Ahmad, MSc Objective: To examine the effect of cost-sharing on the tor antagonists, oral corticosteroids, and combination use of asthma medications in asthmatic children. Accord- agents. Multiple linear and logistic regressions com- ing to asthma guidelines, children with asthma may re- pared medication use between cost-sharing groups, con- quire treatment with multiple medications, including con- trolling for age and sex. trollers and relievers, to achieve optimal control. Although families may be enrolled in drug benefit plans, impedi- Results: The annual number of asthma medication claims ments to access persist in the form of cost-sharing. per child was significantly lower in the high cost- sharing group (6.6) compared with the zero (7.0) and Design: Population-based retrospective cohort study of low (7.2) cost-sharing groups (P.001). Children in the children by analysis of administrative medication insur- high cost-sharing group were less likely to purchase bron- ance claims data. chodilators, inhaled corticosteroids, and leukotriene re- ceptor antagonists compared with the low cost-sharing Setting: Ontario, Canada. group (odds ratio, 0.76; 95% confidence interval, 0.67- 0.86) and were less likely to purchase http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Pediatrics American Medical Association

Effect of Cost-Sharing on Use of Asthma Medication in Children

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Publisher
American Medical Association
Copyright
Copyright 2008 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
2168-6203
eISSN
2168-6211
DOI
10.1001/archpediatrics.2007.21
pmid
18250232
Publisher site
See Article on Publisher Site

Abstract

ARTICLE Effect of Cost-Sharing on Use of Asthma Medication in Children Wendy J. Ungar, MSc, PhD; Anita Kozyrskyj, PhD; Michael Paterson, MSc; Fida Ahmad, MSc Objective: To examine the effect of cost-sharing on the tor antagonists, oral corticosteroids, and combination use of asthma medications in asthmatic children. Accord- agents. Multiple linear and logistic regressions com- ing to asthma guidelines, children with asthma may re- pared medication use between cost-sharing groups, con- quire treatment with multiple medications, including con- trolling for age and sex. trollers and relievers, to achieve optimal control. Although families may be enrolled in drug benefit plans, impedi- Results: The annual number of asthma medication claims ments to access persist in the form of cost-sharing. per child was significantly lower in the high cost- sharing group (6.6) compared with the zero (7.0) and Design: Population-based retrospective cohort study of low (7.2) cost-sharing groups (P.001). Children in the children by analysis of administrative medication insur- high cost-sharing group were less likely to purchase bron- ance claims data. chodilators, inhaled corticosteroids, and leukotriene re- ceptor antagonists compared with the low cost-sharing Setting: Ontario, Canada. group (odds ratio, 0.76; 95% confidence interval, 0.67- 0.86) and were less likely to purchase

Journal

JAMA PediatricsAmerican Medical Association

Published: Feb 1, 2008

References