Short-term impact of co-payment level increase on the use of medication and patient-reported outcomes in Finnish patients with type 2 diabetes
Bibliographic Data
| ID | 21467976 |
|---|---|
| Authors | Piia Lavikainen (0000-0003-3560-8860, University of Eastern Finland, corresponding author), Emma Aarnio (0000-0002-6555-7833, University of Eastern Finland), Leo Niskanen (0000-0003-1503-7060, Päijät-Hämeen Keskussairaala), Pekka Mäntyselkä (0000-0002-5236-1815, University of Eastern Finland), Janne Martikainen (0000-0003-0855-3921, University of Eastern Finland) |
| Year | 2020 |
| Volume | 124 |
| Issue | 12 |
| Pages | 1310-1316 |
| Publication date | 2020-12-01 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Health Policy (JOURNAL) |
| Journal identifiers | ISSN: 0168-8510 • E-ISSN: 1872-6054 |
| Publisher | Elsevier BV (PUBLISHER) |
| DOI | 10.1016/j.healthpol.2020.08.001 |
| PMID | 32878700 |
| OpenAlex | W3048502130 |
| Language | EN |
| Citations received | 2 |
| References cited | 20 |
A new reimbursement scheme for non-insulin medications used for treatment of hyperglycemia in type 2 diabetes (T2D) was implemented in Finland on January 1, 2017. The aim of the study was to evaluate the impact of this co-payment increase (i.e. + 35 percentage points) on patient-reported satisfaction for diabetes care, diabetes medication use, and financial difficulties. Baseline data were collected in 114 pharmacies, where patients with T2D were asked to fill in a questionnaire in November 2016. Follow-ups were conducted at 6 and 12 months. In total, 955 participants with T2D attended the baseline examination. During the follow-up, satisfaction with diabetes care decreased significantly (p < 0.001). Use of insulin increased (OR 1.16, 95 % CI 1.06-1.27) whereas use of metformin and DPP-4 inhibitors decreased (metformin: OR 0.80, 95 % CI 0.70‒0.90; DPP-4 inhibitors: OR 0.82, 95 % CI 0.73‒0.93). Financial difficulties with the purchase of diabetes medications were reported more often both at 6 (OR 2.44, 95 % CI 1.96-3.03) and at 12 months (OR 2.70, 95 % CI 2.18-3.35) than at baseline. These negative short-term effects require future studies. If persistent, the long-term effects of lower treatment satisfaction and increased financial difficulties may imply impaired metabolic control and increased diabetes complication risk and health care costs. Patient perspective should be taken into account in future policy making
Diabetes mellitus · Family medicine · Health care · Insulin · Metformin · Patient satisfaction · Reimbursement · Type 2 diabetes · Diabetes Treatment and Management · Medication Adherence and Compliance · Medicine · Pharmacology and Obesity Treatment · Endocrinology · Internal Medicine · Pharmacy · Surgery
| Citations per year | 0.5 |
|---|---|
| Citation span | 2022 - 2022 (1) |
| Highly cited | No |