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https://www.readbyqxmd.com/read/28507088/impact-of-income-based-deductibles-on-drug-use-and-health-care-utilization-among-older-adults
#1
Michael R Law, Lucy Cheng, Heather Worthington, Muhammad Mamdani, Kimberlyn M McGrail, Fiona K I Chan, Sumit R Majumdar
BACKGROUND: Income-based deductibles are present in several provincial public drug plans in Canada and have been the subject of extensive debate. We studied the impact of such deductibles in British Columbia's Fair PharmaCare plan on drug and health care utilization among older adults. METHODS: We used a quasi-experimental regression discontinuity design to compare the impact of deductibles in BC's PharmaCare plan between older community-dwelling adults registered for the plan who were born in 1928 through 1939 (no deductible) and those born in 1940 through 1951 (deductible equivalent to 2% of household income)...
May 15, 2017: CMAJ: Canadian Medical Association Journal, Journal de L'Association Medicale Canadienne
https://www.readbyqxmd.com/read/28401135/the-effects-of-catastrophic-drug-plan-deductibles-on-older-women-s-use-of-cardiovascular-medicines-a-retrospective-cohort-study
#2
Steven G Morgan, Emilie J Gladstone, Deirdre Weymann, Nadia Khan
BACKGROUND: In recent years, some provinces have implemented income-based catastrophic drug coverage in an effort to provide universal drug coverage while limiting government liability for the escalating costs of medicines needed for an aging population. We sought to examine the effects of income-based deductibles under British Columbia's Fair PharmaCare system on older patients' use of cardiovascular medicines in 2013, 10 years after the province's policy change. METHODS: Using linked administrative databases, we studied rates of hypertension and cholesterol medication used by 2 cohorts of older, married women who had different levels of public drug subsidy based solely on their spouses' ages...
January 2017: CMAJ Open
https://www.readbyqxmd.com/read/28246223/estimated-effects-of-adding-universal-public-coverage-of-an-essential-medicines-list-to-existing-public-drug-plans-in-canada
#3
COMPARATIVE STUDY
Steven G Morgan, Winny Li, Brandon Yau, Nav Persaud
BACKGROUND: Canada's universal health care system does not include universal coverage of prescription drugs. We sought to estimate the effects of adding universal public coverage of an essential medicines list to existing public drug plans in Canada. METHODS: We used administrative and market research data to estimate the 2015 shares of the volume and cost of prescriptions filled in the community setting that were for 117 drugs on a model list of essential medicines for Canada...
February 27, 2017: CMAJ: Canadian Medical Association Journal, Journal de L'Association Medicale Canadienne
https://www.readbyqxmd.com/read/28246164/pharmacare-researchers-win-bruce-squires-award
#4
Roger Collier
No abstract text is available yet for this article.
January 23, 2017: CMAJ: Canadian Medical Association Journal, Journal de L'Association Medicale Canadienne
https://www.readbyqxmd.com/read/28215356/the-financial-burden-of-prescription-drugs-for-neurological-conditions-in-canada-results-from-the-national-population-health-study-of-neurological-conditions
#5
Sara Guilcher, Sarah Munce, James Conklin, Tanya Packer, Molly Verrier, Connie Marras, Tarik Bereket, Joan Versnel, Richard Riopelle, Susan Jaglal
This paper describes the current situation in Canada concerning the availability and use of prescription drugs for neurological conditions. We conducted semi-structured qualitative interviews with health care providers, administrators, community organization representatives, opinion leaders and policy makers. The analysis revealed three primary themes related to the availability of and access to prescription drugs to treat neurological conditions. First, we learned that across Canada there is significant vulnerability and a need for advocacy on behalf of people living with these conditions...
April 2017: Health Policy
https://www.readbyqxmd.com/read/28186715/adoption-of-the-nova-scotia-canada-community-pharmacy-medication-management-program-1-year-post-initiation
#6
Heidi J Deal, Charmaine A Cooke, Ethel M Langille Ingram, Ingrid S Sketris
BACKGROUND: Pharmacists conduct medication reviews to optimize drug therapy. Each jurisdiction implements and funds these programs differently. OBJECTIVE: To describe the uptake of the first year of a community pharmacy medication review program reimbursed by the publically insured seniors' drug benefit program in Nova Scotia, Canada. METHODS: This retrospective analysis included 294 pharmacies and 105,000 beneficiaries enrolled in the Nova Scotia Seniors' Pharmacare Program...
February 1, 2017: Journal of Population Therapeutics and Clinical Pharmacology
https://www.readbyqxmd.com/read/28152878/time-trends-in-opioid-use-in-cancer-and-noncancer-patients-observations-from-administrative-data
#7
Carlo DeAngelis, Craig Earle, Clare Atzema, Deborah Jane Dudgeon, Tara Gomes, Doris Howell, Amna Husain, Mary Ann O'Brien, Hsien Seow, Jonathan Sussman, Rinku Sutradhar, Anna Chu, Ying Liu
298 Background: Opioid prescribing has been increasingly scrutinized in the non-cancer patient population due to concerns with morbidity, mortality and diversion. Resulting regulatory changes have decreased prescribing. As an unintended consequence, we hypothesized that cancer patients might be similarly impacted. METHODS: All Ontario residents ≥ 65 years are eligible for government paid pharmacare. For each year from 2004 to 2013, Ontarians ≥ 65 years were stratified into 3 groups: no cancer history, cancer diagnosis > 5 years ago and cancer diagnosis ≤ 5 years ago...
March 2016: Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
https://www.readbyqxmd.com/read/27744279/universal-prescription-drug-coverage-in-canada-long-promised-yet-undelivered
#8
REVIEW
Steven G Morgan, Katherine Boothe
Canada's universal public healthcare system is unique among developed countries insofar as it does not include universal coverage of prescription drugs. Universal, public coverage of prescription drugs has been recommended by major national commissions in Canada dating back to the 1960s. It has not, however, been implemented. In this article, we extend research on the failure of early proposals for universal drug coverage in Canada to explain failures of calls for reform over the past 20 years. We describe the confluence of barriers to reform stemming from Canadian policy institutions, ideas held by federal policy-makers, and electoral incentives for necessary reforms...
November 2016: Healthcare Management Forum
https://www.readbyqxmd.com/read/27577437/a-digital-health-system-to-assist-family-physicians-to-safely-prescribe-noac-medications
#9
Samina Raza Abidi, Jafna Cox, Ashraf Abusharekh, Nima Hashemian, Syed Sibte Raza Abidi
Atrial Fibrillation (AF) is the most common cardiac arrhythmia. Generally, the therapeutic options for managing AF include the use of anticoagulant drugs that prevent the coagulation of blood. New Oral Anticoagulants (NOACs) are not optimally prescribed to patients, despite their efficacy. In Canada, NOAC medications are not directly available to patients who belong to provincial benefits programs, rather a NOAC special authorization process establishes the eligibility of a patient to receive a NOAC and be paid by the provincial Pharmacare program...
2016: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/27434392/trends-in-statin-use-in-seniors-1999-to-2013-time-series-analysis
#10
Laura V Minard, Amber Corkum, Ingrid Sketris, Judith Fisher, Ying Zhang, Ahmed Saleh
PURPOSE: To examine HMG-CoA reductase inhibitor (statin) drug dispensing patterns to Nova Scotia Seniors' Pharmacare program (NSSPP) beneficiaries over a 14-year period in response to: 1) rosuvastatin market entry in 2003, 2) JUPITER trial publication in 2008, and 3) generic atorvastatin availability in 2010. METHODS: All NSSPP beneficiaries who redeemed at least one prescription for a statin from April 1, 1999 to March 31, 2013 were included. Aggregated, anonymous monthly prescription counts were extracted by the Nova Scotia Department of Health and Wellness (Nova Scotia, Canada) and changes in dispensing patterns of statins were measured...
2016: PloS One
https://www.readbyqxmd.com/read/27412200/national-pharmacare-time-to-move-forward
#11
Leila Salehi
No abstract text is available yet for this article.
July 2016: Canadian Family Physician Médecin de Famille Canadien
https://www.readbyqxmd.com/read/26464141/election-2015-new-arguments-for-pharmacare
#12
Lauren Vogel
No abstract text is available yet for this article.
October 13, 2015: CMAJ: Canadian Medical Association Journal, Journal de L'Association Medicale Canadienne
https://www.readbyqxmd.com/read/26445589/what-canadians-are-saying-about-pharmacare
#13
(no author information available yet)
No abstract text is available yet for this article.
September 2015: Canadian Pharmacists Journal: CPJ, Revue des Pharmaciens du Canada: RPC
https://www.readbyqxmd.com/read/26445588/pharmacare-2-0-aims-to-reboot-national-pharmacare-conversation
#14
(no author information available yet)
No abstract text is available yet for this article.
September 2015: Canadian Pharmacists Journal: CPJ, Revue des Pharmaciens du Canada: RPC
https://www.readbyqxmd.com/read/25947034/use-of-compassionate-supply-of-antiretroviral-drugs-to-avoid-treatment-interruptions-or-delayed-treatment-initiation-among-hiv-positive-patients-living-in-ontario-a-retrospective-review
#15
Deborah Yoong, Mark Naccarato, Kevin Gough, Jordan Lewis, Ahmed M Bayoumi
BACKGROUND: Without a national pharmacare plan in Canada, HIV-infected patients across the nation differ in their ability to obtain essential HIV therapy. Despite the fact there are public insurance programs in Ontario, patients are unable to access medication. The authors described how frequently patients in their urban clinic could not access medications and why they required a compassionate supply of HIV drugs, with the goals of minimizing treatment delays and avoiding interruptions...
February 2015: Healthcare Policy, Politiques de Santé
https://www.readbyqxmd.com/read/25838573/redressing-the-inequities-in-canadian-pharmacare
#16
D Wayne Taylor
Canadian healthcare is not universal. Nowhere is this lack of universality more evident than in the payment for drugs in Canada. Canadians without the financial wherewithal cannot access orphan drugs for rare diseases and take-at-home oral cancer drugs and many other pharmaceuticals. In addition to the physical and emotional tolls experienced, patients and survivors and their families and caregivers bear the brunt of an ever-growing financial burden. This article outlines how this happened and what to do about it...
March 2015: Healthcare Management Forum
https://www.readbyqxmd.com/read/25802314/canada-can-afford-universal-pharmacare-%C3%A2-no-more-excuses
#17
EDITORIAL
Matthew B Stanbrook
No abstract text is available yet for this article.
April 21, 2015: CMAJ: Canadian Medical Association Journal, Journal de L'Association Medicale Canadienne
https://www.readbyqxmd.com/read/25780047/estimated-cost-of-universal-public-coverage-of-prescription-drugs-in-canada
#18
Steven G Morgan, Michael Law, Jamie R Daw, Liza Abraham, Danielle Martin
BACKGROUND: With the exception of Canada, all countries with universal health insurance systems provide universal coverage of prescription drugs. Progress toward universal public drug coverage in Canada has been slow, in part because of concerns about the potential costs. We sought to estimate the cost of implementing universal public coverage of prescription drugs in Canada. METHODS: We used published data on prescribing patterns and costs by drug type, as well as source of funding (i...
April 21, 2015: CMAJ: Canadian Medical Association Journal, Journal de L'Association Medicale Canadienne
https://www.readbyqxmd.com/read/25498311/reforming-private-drug-coverage-in-canada-inefficient-drug-benefit-design-and-the-barriers-to-change-in-unionized-settings
#19
Sean O'Brady, Marc-André Gagnon, Alan Cassels
Prescription drugs are the highest single cost component for employees' benefits packages in Canada. While industry literature considers cost-containment for prescription drug costs to be a priority for insurers and employers, the implementation of cost-containment measures for private drug plans in Canada remains more of a myth than a reality. Through 18 semi-structured phone interviews conducted with experts from private sector companies, unions, insurers and plan advisors, this study explores the reasons behind this incapacity to implement cost-containment measures by examining how private sector employers negotiate drug benefit design in unionized settings...
February 2015: Health Policy
https://www.readbyqxmd.com/read/24883162/increased-health-service-utilization-costs-in-the-year-prior-to-institutionalization-findings-from-the-canadian-study-of-health-and-aging
#20
John A Naslund, Agnes H Sauter, Gloria Gutman, B Lynn Beattie
OBJECTIVES: The objective of this study was to characterize patterns of formal health service utilization costs during older adults' transition from community to institutional care. METHODS: Participants were 127 adults (age ≥ 65) from the British Columbia sample (N = 2,057) of the Canadian Study of Health and Aging who transitioned from community to institutional care between 1991 and 2001. Health service utilization costs were measured using Cost-Per-Day-At-Risk at five time points: > 12 months, 6-12 months, and ≤ 6 months preinstitutionalization, and ≤ 6 months and 6-12 months postinstitutionalization...
June 2014: Canadian Geriatrics Journal: CGJ
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