干旱区生态环境知识资源中心(Arid): Older patients and geographic barriers to pharmacy access: When nonadherence translates to an increased use of other components of health care

Arid

DOI	10.1002/hec.4031
	Older patients and geographic barriers to pharmacy access: When nonadherence translates to an increased use of other components of health care
	Di Novi, Cinzia 1; Leporatti, Lucia 2; Montefiori, Marcello 2
通讯作者	Di Novi, Cinzia
来源期刊	HEALTH ECONOMICS
ISSN	1057-9230
EISSN	1099-1050
出版年	2020
卷号	29 页码:97-109
英文摘要	This paper studies whether geographic barriers can influence nonadherence to prescription drugs and its effect on patients' health. We used a multivariate probit model estimated by maximum simulated likelihood that considers individual unobserved heterogeneity, which may characterize the relationship between adherence, medical care utilization, and health outcome. We used administrative data from Liguria, Italy, the region with the highest rate of individuals over the age of 65 in Europe. Our sample included older individuals affected by cardiovascular diseases, which remain one of the leading causes of death in most OECD countries. Our results showed that geographic barriers to pharmacies negatively influence patients' adherence. According to our results, patients' nonadherence to pharmacological therapy is responsible for an increased probability of patients' mortality and the overuse of other medical services, namely, hospitalizations and emergency department visits. Nonadherence may thus represent a potential source of waste for the health care system.
英文关键词	adherence chronic diseases geographic barriers multivariate probit pharmacy desert
类型	Article
语种	英语
国家	Italy
收录类别	SCI-E ; SSCI
WOS记录号	WOS:000538657300001
WOS关键词	MEDICATION ADHERENCE ; DRUG-THERAPY ; LIFE-STYLE ; MORTALITY ; IMPACT ; OUTCOMES
WOS类目	Economics ; Health Care Sciences & Services ; Health Policy & Services
WOS研究方向	Business & Economics ; Health Care Sciences & Services
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/318782
作者单位	1.Univ Pavia, Dept Econ & Management, Via San Felice 5, I-27100 Pavia, Italy; 2.Univ Genoa, Dept Econ, Genoa, Italy
推荐引用方式 GB/T 7714	Di Novi, Cinzia,Leporatti, Lucia,Montefiori, Marcello. Older patients and geographic barriers to pharmacy access: When nonadherence translates to an increased use of other components of health care[J],2020,29:97-109.
APA	Di Novi, Cinzia,Leporatti, Lucia,&Montefiori, Marcello.(2020).Older patients and geographic barriers to pharmacy access: When nonadherence translates to an increased use of other components of health care.HEALTH ECONOMICS,29,97-109.
MLA	Di Novi, Cinzia,et al."Older patients and geographic barriers to pharmacy access: When nonadherence translates to an increased use of other components of health care".HEALTH ECONOMICS 29(2020):97-109.