Rabu, 16 November 2011

Today many Patients avoid heart medications for free

Giving people drug-free and many of them still do not care to take their medications.
The doctor was surprised to see the resort of people occurred in a large study Involving Heart Attack Victims. Patient well-established sources of drugs available to prevent the recurrence of heart problems, including cholesterol-lowering drugs called statins, which slow the heart and helps pump more efficiently.
"My God, we've given people the idea of ​​drug free and only take half," said one study author, Dr. Elliott Antman of Harvard-affiliated Brigham and Women Hospital in Boston.
In fact, the researchers can not even give the stuff: they had a problem with access only to take part in the study patients.

However, Aetna, the insurance company pays the bill would have thought that this approach will save money in the long term and expects to begin offering some free drugs for the heart of some patients. In the study, patients suffer from Offered without Major Cardiovascular Problems drug costs and save $ 500 on average for about year.
And 'There is no secret a lot of Americans do not follow their doctor's instructions. "In the survey, one third do not fill prescriptions or medication word of the cases are less Theys Theys used because of cost. The researchers in this study wanted to see what would happen if you take the cost out of the equation.
The results are disappointing sources.
"Compliance with the Americans is sad," lamented Dr. Eric Peterson of Duke University, who had no role in the study. He noted that only 10 percent of patients treated with all drugs were the resource persons should Theys One year after a heart attack.
Research conducted by Dr. WAS Niteesh Choudhry Brigham and Women, WHO presented the results Monday at the American Heart Association conference in Florida. Those sources aussi published online by the New England Journal of Medicine.
This study examines why people are not taking their medication. Doctors know that some forgotten purpose. Most of these drugs on average three or more pills a day for the rest of the patient's life. In addition, some of these drugs carry side effects such as fatigue, lightheadedness, muscle bread, hard cough, also for men sexually.
However, as Heart Attack Victims Joan Ferraro,, 53 of Freehold, New Jersey, Said could not imagine Theys taking medication as prescribed, even if sometimes forgets her pills for the weekend.
"Why do you want to go back through things like that? This is the most horrible experience of my life. I would never want to again," he said.
The study enrolled 5855 Aetna plan members who have a drug benefit as part of their resources and people to return home from the hospital after a heart attack. They source the average 53 years, men and three quarters were resource persons.
The researchers hope to recruit 7,500 patients and profane Pls scale destination signed.
Drug prevention is a free resource to the 2845 regular patients and prescription copayment for the rest. Thesis copay for drugs run about $ 50 per month.
About a year later, the WHO's share of patients filled their prescriptions ranged from 36 percent to 49 percent in the copay, depending on the drug, and only 4 to 6 percentage points higher in the group that did not copay.
Drugs that provide free thesis has "painfully simple" on the willingness of patients to take, Dr. Lee Goldman, Columbia University, and Dr. Arnold Epstein of the Harvard School of Public Health wrote in an editorial in a medical journal.
Commonwealth Fund, a foundation dedicated to improving the health system, has helped pay for research, and some authors refer to the insurance company.
In the study, the number of heart attacks, strokes, cases of chest pain or heart failure and other problems, were significantly lower in the group were given free medicines.
This means that every two years an additional 100 people have been spared the problem of these people because the resources are offered free drug. Doctors suspect the difference between the groups will be greater if more people actually have their prescriptions filled.
The costs have dropped 26 per cent of patients in drug-free compared to others, mainly because fewer doctor visits, lab tests and hospitalization.
After about a year, medical expenses for insurance, including follow-up medical visits and hospitalizations on average $ 69,997 for those with coverage at $ 64,726 and are usually available to them with free medicines. What is not considered a significant difference, insurance aims to observe the bottom line still look like it would be useful.
Dr. Lonny Reisman, author of the study and chief medical officer for Aetna, said the company expects that some of these drugs offer free gold with a small copay for heart attack victims Several morning and plan to get it done for other chronic diseases such as diabetes and lung disease Chronic lung.
Insurers other studies are sure to do the same thing May, Goldman and Epstein said

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