Trends in Mail-Order Pharmacy Use in the U.S. From 1996 to 2018: An Analysis of the Medical Expenditure Panel Survey.

Adult Health Expenditures Humans Pharmacies Pharmacy Postal Service Surveys and Questionnaires

Journal

American journal of preventive medicine
ISSN: 1873-2607
Titre abrégé: Am J Prev Med
Pays: Netherlands
ID NLM: 8704773

Informations de publication

Date de publication:
08 2021
Historique:
received: 11 11 2020
revised: 14 02 2021
accepted: 19 02 2021
pubmed: 8 5 2021
medline: 13 8 2021
entrez: 7 5 2021
Statut: ppublish

Résumé

The use of mail-order pharmacies is generally associated with lower healthcare costs and improved medication adherence. To promote the use of mail-order pharmacies, it is important to understand the time trends in their use and whether these trends vary by population subgroups. This study used the 1996-2018 Medical Expenditure Panel Survey to determine the annual prevalence of mail-order pharmacy use (defined as purchasing ≥1 prescription from a mail-order or online pharmacy) among U.S. adult prescription users and its variation by population characteristics. Logistic regression was used to determine the correlates of mail-order pharmacy use. Results were presented for medications and therapeutic classes most commonly purchased by mail-order pharmacy exclusive users. Analyses were conducted in December 2020. The annual prevalence of mail-order pharmacy use among U.S. adult prescription users increased from 10.2% (95% CI=9.3, 11.1) in 1996 to 17.0% (95% CI=15.9, 18.1) in 2005 and then declined to 15.7% (95% CI=14.9, 16.6) by 2018. Absolute differences in the prevalence of use by race/ethnicity, education, and health insurance coverage widened over time, whereas they remained stable when stratifying by sex, age, marital status, region, limitations in daily activities, pain interference, health status, number of chronic conditions, and access to medical care. Among mail-order pharmacy exclusive users, the 3 most commonly purchased medications were atorvastatin (16.7%), levothyroxine (13.6%), and lisinopril (13.1%); the 3 most commonly purchased therapeutic classes were cardiovascular agents (57.9%), metabolic agents (52.1%), and central nervous system agents (29.6%). The prevalence of mail-order pharmacy use has declined in recent years and has shown significant variation across population subgroups. Future research should examine whether the declining trends and variation in use may influence the management of chronic conditions and the disparities in health and healthcare costs.

Identifiants

DOI: 10.1016/j.amepre.2021.02.017 PMID: 33958237 PMC: PMC8319048
pubmed: 33958237
pii: S0749-3797(21)00182-3
doi: 10.1016/j.amepre.2021.02.017
pmc: PMC8319048
mid: NIHMS1690882
pii:
doi:

Types de publication

Journal Article Research Support, N.I.H., Extramural

Langues

eng

Sous-ensembles de citation

IM

Pagination

e63-e72

Subventions

Organisme : NCATS NIH HHS
ID : KL2 TR003143
Pays : United States

Commentaires et corrections

Type : UpdateOf

Informations de copyright

Copyright © 2021 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.

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Auteurs

Duy Do (D)

Division of Primary Care and Population Health, Department of Medicine, Stanford School of Medicine, Stanford University, Palo Alto, California; Heidelberg Institute of Global Health, Faculty of Medicine and University Hospital, Heidelberg University, Heidelberg, Germany. Electronic address: duydo@stanford.edu.

Pascal Geldsetzer (P)

Division of Primary Care and Population Health, Department of Medicine, Stanford School of Medicine, Stanford University, Palo Alto, California; Heidelberg Institute of Global Health, Faculty of Medicine and University Hospital, Heidelberg University, Heidelberg, Germany.

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Classifications MeSH

questionsmedicales.fr › Personnes › Tranches d'âge › Adulte › Trends in Mail-Order Pharmacy Use in the U.S....
questionsmedicales.fr › Qualité, accès, évaluation des soins de santé › Prestations des soins de santé › Dépenses de santé › Trends in Mail-Order Pharmacy Use in the U.S....
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Trends in Mail-Order Pharmacy Use in the U.S....
questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Établissements de santé › Pharmacies › Trends in Mail-Order Pharmacy Use in the U.S....
questionsmedicales.fr › Professions de santé › Pharmacie › Trends in Mail-Order Pharmacy Use in the U.S....
questionsmedicales.fr › Sciences sociales › Programmes gouvernementaux › Service postal › Trends in Mail-Order Pharmacy Use in the U.S....
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Collecte de données › Enquêtes et questionnaires › Trends in Mail-Order Pharmacy Use in the U.S....