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Antipsychotic adherence, switching, and health care service utilization among Medicaid recipients with schizophrenia
| Content Provider | Scilit |
|---|---|
| Author | Noordsy, Douglas L. Phillips, Glenn A. Ball, Daniel E. Linde-Zwirble, Walter T. |
| Copyright Year | 2010 |
| Description | Journal: Patient preference and adherence Objective: To evaluate health care resource utilization in patients with schizophrenia who continued newly prescribed antipsychotic medications, compared with those switching to different treatments. Methods: Adults with schizophrenia in the California Medicaid (MediCal) database who initiated treatment with index medications in 1998–2001, were classified as having: 1) abandoned antipsychotic medications; 2) switched to another medication; or 3) continued with the index antipsychotic, for up to 6 months after the index date. Results: Of 2300 patients meeting eligibility criteria, 1382 (60.1%) continued index medications, 480 (20.9%) switched, and 438 (19.0%) abandoned antipsychotic treatment. Utilization in several resource categories occurred significantly more frequently among patients whose regimens were switched (vs those continuing index medications). These included using psychiatric (24.2% vs 14.5%; P < 0.001) or nonpsychiatric (31.5% vs 24.3%; P < 0.05) emergency services; being admitted to a hospital (10.6% vs 7.4%; P < 0.05); making nonpsychiatric outpatient hospital visits (43.3% vs 36.4%; P < 0.05) or nonpsychiatric physician visits (62.7% vs 56.4%; P < 0.05); and using other outpatient psychiatric (53.3% vs 40.7%; P < 0.001) or nonpsychiatric (82.7% vs 74.6%; P < 0.001) services. Conclusions: Switching antipsychotic medications is associated with significantly increased health care resource utilization (vs continuing treatment). |
| Related Links | https://www.dovepress.com/getfile.php?fileID=7012 |
| Ending Page | 271 |
| Page Count | 9 |
| Starting Page | 263 |
| ISSN | 1177889X |
| DOI | 10.2147/PPA.S6053 |
| Journal | Patient preference and adherence |
| Volume Number | 4 |
| Language | English |
| Publisher | Informa UK Limited |
| Publisher Date | 2010-07-01 |
| Access Restriction | Open |
| Subject Keyword | Journal: Patient preference and adherence Health Policy and Services Clinical Psychology Antipsychotics Drug Therapy Resource Use Treatment Adherence |
| Content Type | Text |
| Subject | Social Sciences Pharmacology, Toxicology and Pharmaceutics Health Policy |
