Greater Adherence To Diabetes Drugs Is Linked To Less Hospital Use And Could Save Nearly $5 Billion Annually

Improving adherence to medication offers the possibility of both reducing costs and improving care for patients with chronic illness. We examined a national sample of diabetes patients from 2005 to 2008 and found that improved adherence to diabetes medications was associated with 13 percent lower od...

Full description

Saved in:
Bibliographic Details
Published in:Health affairs (Millwood, Va.) Va.), 2012-08, Vol.31 (8), p.1836-1846
Main Authors: Jha, Ashish K, Aubert, Ronald E, Yao, Jianying, Teagarden, J Russell, Epstein, Robert S
Format: Article
Language:English
Subjects:
Benefits
Chronic Illness
Chronic illnesses
Cost
Cost control
Cost reduction
Diabetes
Disease
Drug Abuse
Emergency medical care
Emergency Medical Services
Health
Health care expenditures
Health care policy
Health Care Services
Hospitalization
Hospitals
Longitudinal studies
Medical service
Minorities
Patient compliance
Patients
Pharmacy
Pharmacy benefit management
Policy Making
Prescription drugs
Records
Saving
Studies
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
cited_by
cites
container_end_page 1846
container_issue 8
container_start_page 1836
container_title Health affairs (Millwood, Va.)
container_volume 31
creator Jha, Ashish K
Aubert, Ronald E
Yao, Jianying
Teagarden, J Russell
Epstein, Robert S
description Improving adherence to medication offers the possibility of both reducing costs and improving care for patients with chronic illness. We examined a national sample of diabetes patients from 2005 to 2008 and found that improved adherence to diabetes medications was associated with 13 percent lower odds of subsequent hospitalizations or emergency department visits. Similarly, losing adherence was associated with 15 percent higher odds of these outcomes. Based on these and other effects, we project that improved adherence to diabetes medication could avert 699,000 emergency department visits and 341,000 hospitalizations annually, for a saving of $4.7 billion. Eliminating the loss of adherence (which occurred in one out of every four patients in our sample) would lead to another $3.6 billion in savings, for a combined potential savings of $8.3 billion. These benefits were particularly pronounced among poor and minority patients. Our analysis suggests that improved adherence among patients with diabetes should be a key goal for the health care system and policy makers. Strategies might include reducing copayments for certain medications or providing feedback about adherence to patients and providers through electronic health records. Adapted from the source document.
doi_str_mv 10.1377/hlthaff.2011.1198
format article
fullrecord <record><control><sourceid>proquest</sourceid><recordid>TN_cdi_proquest_miscellaneous_1728653003</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2742122021</sourcerecordid><originalsourceid>FETCH-LOGICAL-p235t-82edbe70ea3da77ec741a9829c14435d55b1d2d67d5702fbc8fb9d766e8874d83</originalsourceid><addsrcrecordid>eNqFzzFPwzAQBWALgUQp_AA2SzCwpPjsOOeMpYUWKYKBdq6c-EJTTFLiBKn_niCYWLjlDe_Tk46xSxATUIi3W99tbVlOpACYAKTmiI1Ax3GkpTDHbCQkmkgi6FN2FsJOCJEgihHzi5ZsRy2fui21VBfEVw2fVzanjgKft_1r4I-BZ1X9Ru67yygEvmzCvuqs5-tAfFo7Pmt67_iL_ST-RLb1B36t-V3lfdXUA6h76_3hnJ2U1ge6-M0xWz_cr2bLKHtePM6mWbSXSneRkeRyQkFWOYtIBcZgUyPTAuJYaad1Dk66BJ1GIcu8MGWeOkwSMgZjZ9SY3fzs7tvmo6fQbd6rUJD3tqamDxtAaRKthFD_U5BaDmfkQK_-0F3Tt_XwyAaEihORpimoL9rDdho</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1034609991</pqid></control><display><type>article</type><title>Greater Adherence To Diabetes Drugs Is Linked To Less Hospital Use And Could Save Nearly $5 Billion Annually</title><source>International Bibliography of the Social Sciences (IBSS)</source><source>Social Science Premium Collection</source><source>ABI/INFORM Global</source><source>Politics Collection</source><source>PAIS Index</source><source>Sociological Abstracts</source><creator>Jha, Ashish K ; Aubert, Ronald E ; Yao, Jianying ; Teagarden, J Russell ; Epstein, Robert S</creator><creatorcontrib>Jha, Ashish K ; Aubert, Ronald E ; Yao, Jianying ; Teagarden, J Russell ; Epstein, Robert S</creatorcontrib><description>Improving adherence to medication offers the possibility of both reducing costs and improving care for patients with chronic illness. We examined a national sample of diabetes patients from 2005 to 2008 and found that improved adherence to diabetes medications was associated with 13 percent lower odds of subsequent hospitalizations or emergency department visits. Similarly, losing adherence was associated with 15 percent higher odds of these outcomes. Based on these and other effects, we project that improved adherence to diabetes medication could avert 699,000 emergency department visits and 341,000 hospitalizations annually, for a saving of $4.7 billion. Eliminating the loss of adherence (which occurred in one out of every four patients in our sample) would lead to another $3.6 billion in savings, for a combined potential savings of $8.3 billion. These benefits were particularly pronounced among poor and minority patients. Our analysis suggests that improved adherence among patients with diabetes should be a key goal for the health care system and policy makers. Strategies might include reducing copayments for certain medications or providing feedback about adherence to patients and providers through electronic health records. Adapted from the source document.</description><identifier>ISSN: 0278-2715</identifier><identifier>EISSN: 1544-5208</identifier><identifier>DOI: 10.1377/hlthaff.2011.1198</identifier><language>eng</language><publisher>Chevy Chase: The People to People Health Foundation, Inc., Project HOPE</publisher><subject>Benefits ; Chronic Illness ; Chronic illnesses ; Cost ; Cost control ; Cost reduction ; Diabetes ; Disease ; Drug Abuse ; Emergency medical care ; Emergency Medical Services ; Health ; Health care expenditures ; Health care policy ; Health Care Services ; Hospitalization ; Hospitals ; Longitudinal studies ; Medical service ; Minorities ; Patient compliance ; Patients ; Pharmacy ; Pharmacy benefit management ; Policy Making ; Prescription drugs ; Records ; Saving ; Studies</subject><ispartof>Health affairs (Millwood, Va.), 2012-08, Vol.31 (8), p.1836-1846</ispartof><rights>Copyright The People to People Health Foundation, Inc., Project HOPE Aug 2012</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/1034609991/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$H</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/1034609991?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,776,780,11667,12826,21366,21373,27842,27843,27901,27902,33200,33588,33589,33752,33962,33963,36037,36038,43709,43924,44339,73964,74211,74638</link.rule.ids></links><search><creatorcontrib>Jha, Ashish K</creatorcontrib><creatorcontrib>Aubert, Ronald E</creatorcontrib><creatorcontrib>Yao, Jianying</creatorcontrib><creatorcontrib>Teagarden, J Russell</creatorcontrib><creatorcontrib>Epstein, Robert S</creatorcontrib><title>Greater Adherence To Diabetes Drugs Is Linked To Less Hospital Use And Could Save Nearly $5 Billion Annually</title><title>Health affairs (Millwood, Va.)</title><description>Improving adherence to medication offers the possibility of both reducing costs and improving care for patients with chronic illness. We examined a national sample of diabetes patients from 2005 to 2008 and found that improved adherence to diabetes medications was associated with 13 percent lower odds of subsequent hospitalizations or emergency department visits. Similarly, losing adherence was associated with 15 percent higher odds of these outcomes. Based on these and other effects, we project that improved adherence to diabetes medication could avert 699,000 emergency department visits and 341,000 hospitalizations annually, for a saving of $4.7 billion. Eliminating the loss of adherence (which occurred in one out of every four patients in our sample) would lead to another $3.6 billion in savings, for a combined potential savings of $8.3 billion. These benefits were particularly pronounced among poor and minority patients. Our analysis suggests that improved adherence among patients with diabetes should be a key goal for the health care system and policy makers. Strategies might include reducing copayments for certain medications or providing feedback about adherence to patients and providers through electronic health records. Adapted from the source document.</description><subject>Benefits</subject><subject>Chronic Illness</subject><subject>Chronic illnesses</subject><subject>Cost</subject><subject>Cost control</subject><subject>Cost reduction</subject><subject>Diabetes</subject><subject>Disease</subject><subject>Drug Abuse</subject><subject>Emergency medical care</subject><subject>Emergency Medical Services</subject><subject>Health</subject><subject>Health care expenditures</subject><subject>Health care policy</subject><subject>Health Care Services</subject><subject>Hospitalization</subject><subject>Hospitals</subject><subject>Longitudinal studies</subject><subject>Medical service</subject><subject>Minorities</subject><subject>Patient compliance</subject><subject>Patients</subject><subject>Pharmacy</subject><subject>Pharmacy benefit management</subject><subject>Policy Making</subject><subject>Prescription drugs</subject><subject>Records</subject><subject>Saving</subject><subject>Studies</subject><issn>0278-2715</issn><issn>1544-5208</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>7TQ</sourceid><sourceid>8BJ</sourceid><sourceid>ALSLI</sourceid><sourceid>DPSOV</sourceid><sourceid>M0C</sourceid><sourceid>M2L</sourceid><sourceid>M2R</sourceid><sourceid>BHHNA</sourceid><recordid>eNqFzzFPwzAQBWALgUQp_AA2SzCwpPjsOOeMpYUWKYKBdq6c-EJTTFLiBKn_niCYWLjlDe_Tk46xSxATUIi3W99tbVlOpACYAKTmiI1Ax3GkpTDHbCQkmkgi6FN2FsJOCJEgihHzi5ZsRy2fui21VBfEVw2fVzanjgKft_1r4I-BZ1X9Ru67yygEvmzCvuqs5-tAfFo7Pmt67_iL_ST-RLb1B36t-V3lfdXUA6h76_3hnJ2U1ge6-M0xWz_cr2bLKHtePM6mWbSXSneRkeRyQkFWOYtIBcZgUyPTAuJYaad1Dk66BJ1GIcu8MGWeOkwSMgZjZ9SY3fzs7tvmo6fQbd6rUJD3tqamDxtAaRKthFD_U5BaDmfkQK_-0F3Tt_XwyAaEihORpimoL9rDdho</recordid><startdate>20120801</startdate><enddate>20120801</enddate><creator>Jha, Ashish K</creator><creator>Aubert, Ronald E</creator><creator>Yao, Jianying</creator><creator>Teagarden, J Russell</creator><creator>Epstein, Robert S</creator><general>The People to People Health Foundation, Inc., Project HOPE</general><scope>0-V</scope><scope>0U~</scope><scope>1-H</scope><scope>3V.</scope><scope>7RV</scope><scope>7T2</scope><scope>7TQ</scope><scope>7WY</scope><scope>7WZ</scope><scope>7X7</scope><scope>7XB</scope><scope>87Z</scope><scope>88C</scope><scope>88E</scope><scope>88J</scope><scope>8AO</scope><scope>8BJ</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8FL</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AN0</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BEC</scope><scope>BENPR</scope><scope>BEZIV</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DHY</scope><scope>DON</scope><scope>DPSOV</scope><scope>DWQXO</scope><scope>FQK</scope><scope>FRNLG</scope><scope>FYUFA</scope><scope>F~G</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>JBE</scope><scope>K60</scope><scope>K6~</scope><scope>K9.</scope><scope>KB0</scope><scope>KC-</scope><scope>L.-</scope><scope>L.0</scope><scope>M0C</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M2L</scope><scope>M2O</scope><scope>M2R</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PATMY</scope><scope>PQBIZ</scope><scope>PQBZA</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PYCSY</scope><scope>Q9U</scope><scope>7U3</scope><scope>BHHNA</scope></search><sort><creationdate>20120801</creationdate><title>Greater Adherence To Diabetes Drugs Is Linked To Less Hospital Use And Could Save Nearly $5 Billion Annually</title><author>Jha, Ashish K ; Aubert, Ronald E ; Yao, Jianying ; Teagarden, J Russell ; Epstein, Robert S</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p235t-82edbe70ea3da77ec741a9829c14435d55b1d2d67d5702fbc8fb9d766e8874d83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Benefits</topic><topic>Chronic Illness</topic><topic>Chronic illnesses</topic><topic>Cost</topic><topic>Cost control</topic><topic>Cost reduction</topic><topic>Diabetes</topic><topic>Disease</topic><topic>Drug Abuse</topic><topic>Emergency medical care</topic><topic>Emergency Medical Services</topic><topic>Health</topic><topic>Health care expenditures</topic><topic>Health care policy</topic><topic>Health Care Services</topic><topic>Hospitalization</topic><topic>Hospitals</topic><topic>Longitudinal studies</topic><topic>Medical service</topic><topic>Minorities</topic><topic>Patient compliance</topic><topic>Patients</topic><topic>Pharmacy</topic><topic>Pharmacy benefit management</topic><topic>Policy Making</topic><topic>Prescription drugs</topic><topic>Records</topic><topic>Saving</topic><topic>Studies</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Jha, Ashish K</creatorcontrib><creatorcontrib>Aubert, Ronald E</creatorcontrib><creatorcontrib>Yao, Jianying</creatorcontrib><creatorcontrib>Teagarden, J Russell</creatorcontrib><creatorcontrib>Epstein, Robert S</creatorcontrib><collection>ProQuest Social Sciences Premium Collection</collection><collection>Global News &amp; ABI/Inform Professional</collection><collection>Trade PRO</collection><collection>ProQuest Central (Corporate)</collection><collection>Proquest Nursing &amp; Allied Health Source</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>PAIS Index</collection><collection>ABI/INFORM Collection</collection><collection>ABI/INFORM Global (PDF only)</collection><collection>ProQuest Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>ABI/INFORM Collection</collection><collection>Healthcare Administration Database (Alumni)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Social Science Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>International Bibliography of the Social Sciences (IBSS)</collection><collection>ProQuest Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ABI/INFORM Collection (Alumni Edition)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central</collection><collection>Social Science Premium Collection</collection><collection>British Nursing Database</collection><collection>Agricultural &amp; Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>eLibrary</collection><collection>ProQuest Central</collection><collection>Business Premium Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>PAIS International</collection><collection>PAIS International (Ovid)</collection><collection>Politics Collection</collection><collection>ProQuest Central</collection><collection>International Bibliography of the Social Sciences</collection><collection>Business Premium Collection (Alumni)</collection><collection>Health Research Premium Collection</collection><collection>ABI/INFORM Global (Corporate)</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>SciTech Premium Collection</collection><collection>International Bibliography of the Social Sciences</collection><collection>ProQuest Business Collection (Alumni Edition)</collection><collection>ProQuest Business Collection</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Database (Alumni Edition)</collection><collection>ProQuest Politics Collection</collection><collection>ABI/INFORM Professional Advanced</collection><collection>ABI/INFORM Professional Standard</collection><collection>ABI/INFORM Global</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>ProQuest Healthcare Administration Database</collection><collection>Medical Database</collection><collection>Political Science Database</collection><collection>Research Library</collection><collection>Social Science Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>Environmental Science Database</collection><collection>One Business (ProQuest)</collection><collection>ProQuest One Business (Alumni)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>Environmental Science Collection</collection><collection>ProQuest Central Basic</collection><collection>Social Services Abstracts</collection><collection>Sociological Abstracts</collection><jtitle>Health affairs (Millwood, Va.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Jha, Ashish K</au><au>Aubert, Ronald E</au><au>Yao, Jianying</au><au>Teagarden, J Russell</au><au>Epstein, Robert S</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Greater Adherence To Diabetes Drugs Is Linked To Less Hospital Use And Could Save Nearly $5 Billion Annually</atitle><jtitle>Health affairs (Millwood, Va.)</jtitle><date>2012-08-01</date><risdate>2012</risdate><volume>31</volume><issue>8</issue><spage>1836</spage><epage>1846</epage><pages>1836-1846</pages><issn>0278-2715</issn><eissn>1544-5208</eissn><abstract>Improving adherence to medication offers the possibility of both reducing costs and improving care for patients with chronic illness. We examined a national sample of diabetes patients from 2005 to 2008 and found that improved adherence to diabetes medications was associated with 13 percent lower odds of subsequent hospitalizations or emergency department visits. Similarly, losing adherence was associated with 15 percent higher odds of these outcomes. Based on these and other effects, we project that improved adherence to diabetes medication could avert 699,000 emergency department visits and 341,000 hospitalizations annually, for a saving of $4.7 billion. Eliminating the loss of adherence (which occurred in one out of every four patients in our sample) would lead to another $3.6 billion in savings, for a combined potential savings of $8.3 billion. These benefits were particularly pronounced among poor and minority patients. Our analysis suggests that improved adherence among patients with diabetes should be a key goal for the health care system and policy makers. Strategies might include reducing copayments for certain medications or providing feedback about adherence to patients and providers through electronic health records. Adapted from the source document.</abstract><cop>Chevy Chase</cop><pub>The People to People Health Foundation, Inc., Project HOPE</pub><doi>10.1377/hlthaff.2011.1198</doi><tpages>11</tpages></addata></record>
fulltext fulltext
identifier ISSN: 0278-2715
ispartof Health affairs (Millwood, Va.), 2012-08, Vol.31 (8), p.1836-1846
issn 0278-2715
1544-5208
language eng
recordid cdi_proquest_miscellaneous_1728653003
source International Bibliography of the Social Sciences (IBSS); Social Science Premium Collection; ABI/INFORM Global; Politics Collection; PAIS Index; Sociological Abstracts
subjects Benefits
Chronic Illness
Chronic illnesses
Cost
Cost control
Cost reduction
Diabetes
Disease
Drug Abuse
Emergency medical care
Emergency Medical Services
Health
Health care expenditures
Health care policy
Health Care Services
Hospitalization
Hospitals
Longitudinal studies
Medical service
Minorities
Patient compliance
Patients
Pharmacy
Pharmacy benefit management
Policy Making
Prescription drugs
Records
Saving
Studies
title Greater Adherence To Diabetes Drugs Is Linked To Less Hospital Use And Could Save Nearly $5 Billion Annually
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-02T03%3A01%3A56IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Greater%20Adherence%20To%20Diabetes%20Drugs%20Is%20Linked%20To%20Less%20Hospital%20Use%20And%20Could%20Save%20Nearly%20$5%20Billion%20Annually&rft.jtitle=Health%20affairs%20(Millwood,%20Va.)&rft.au=Jha,%20Ashish%20K&rft.date=2012-08-01&rft.volume=31&rft.issue=8&rft.spage=1836&rft.epage=1846&rft.pages=1836-1846&rft.issn=0278-2715&rft.eissn=1544-5208&rft_id=info:doi/10.1377/hlthaff.2011.1198&rft_dat=%3Cproquest%3E2742122021%3C/proquest%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-p235t-82edbe70ea3da77ec741a9829c14435d55b1d2d67d5702fbc8fb9d766e8874d83%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=1034609991&rft_id=info:pmid/&rfr_iscdi=true