Cost-Related Insulin Underuse Among Patients With Diabetes
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methodology.5 Combining hospital and police data may allow for a more complete picture of violence.Limitations of the study include that findings are generated from a single city.Furthermore, this study focused on violence occurring in public places only and does not provide information on reporting by injury severity.Third, this study does not include comparison with minor criminal charges such as "simple assault"; although not readily used as a criminal charge for violent injuries necessitating ED treatment in this study's jurisdictions, use of criminal charges can vary across police jurisdictions.Last, beyond the potential of misreporting by patients, only approximately 40% of violent incidents contained enough information to be mapped.Nonetheless, we hypothesize that patients declining to provide detailed information to nurses have specific reasons for nondisclosure 6 and would therefore also be unlikely to provide such information to police.This suggests that the number of incidents unreported to police may be even higher than we detected.In summary, these findings emphasize the potential of ED and police data to provide a complementary and comprehensive understanding of violent injury resulting in significant morbidity.This study provides new support for the United States on the value of cross-sectoral partnerships, the importance of ED-collected violence data, and the potential of such efforts to improve violence prevention.
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Cost-related nonadherence affects up to 1 in 4 insulin users.
“For example, studies have shown that cost-related nonadherence affects up to 1 in 4 insulin users.13,14”
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References 10 · Cited by 230
Research works printed but not linked: 7
- Hua X, Carvalho N, Tew M, Huang ES, Herman WH, Clarke P. Expenditures and Prices of Antihyperglycemic Medications in the United States: 2002-2013. JAMA. 2016;315(13):1400-1402.
- Lipska KJ, Ross JS, Van Houten HK, Beran D, Yudkin JS, Shah ND. Use and out-of-pocket costs of insulin for type 2 diabetes mellitus from 2000 through 2010. JAMA. 2014;311(22):2331-2333.
- Piette JD, Heisler M, Wagner TH. Problems paying out-of-pocket medication costs among older adults with diabetes. Diabetes Care. 2004;27(2):384-391.
- Moffet HH, Adler N, Schillinger D, et al. Cohort Profile: The Diabetes Study of Northern California (DISTANCE)--objectives and design of a survey follow-up study of social health disparities in a managed care population. Int J Epidemiol. 2009;38(1):38-47.
- Kennedy J, Morgan S. Cost-related prescription nonadherence in the United States and Canada: a system-level comparison using the 2007 International Health Policy Survey in Seven Countries. Clin Ther. 2009;31(1):213-219.
- Luo J, Avorn J, Kesselheim AS. Trends in Medicaid reimbursements for insulin from 1991 through 2014. JAMA Intern Med. 2015;175(10):1681-1686. doi:10.1001/jamainternmed.2015.4338 · DOI
- Rosenthal E. An American Sickness: How Healthcare Became Big Business and How You Can Take It Back. New York, NY: Penguin Random House; 2017.
- Authors
- Herkert, D., Vijayakumar, P., Luo, J., Schwartz, J. I., Rabin, T. L., DeFilippo, E., & Lipska, K. J.
- Affiliations
- Yale University (US)
- Brigham and Women's Hospital (US)
- Corresponding author
- Lipska, Kasia J.
- Venue
- JAMA Internal Medicine
- Publisher
- American Medical Association (AMA)
- Published
- 2019-01-01
- Volume
- 179
- Issue
- 1
- Pages
- 112
- ISSN
- 2168-6106 (ISSN-L)
- PMC
- PMC6583414
- OpenAlex
- W2902030523
- Cited by
- 230
- References
- 10
- Citations by year
- 2026: 13 · 2025: 23 · 2024: 22 · 2023: 39 · 2022: 43 · 2021: 34 · 2020: 37 · 2019: 17 · 2018: 1 · 2014: 1
- FWCI
- 17.71
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- JAMA Internal Medicine (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Robert Wood Johnson Foundation
- National Institute on Aging (K23AG048359, P30AG021342)
- National Institute of Diabetes and Digestive and Kidney Diseases (T35DK104689)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Healthcare Policy and Management
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Keywords
- diabetes mellitus, health care costs, law enforcement data, violent injury, emergency department data, violence prevention, cross-sectoral partnerships
- MeSH terms
- Assessment of Medication Adherence, Adult, Aged, Connecticut, Diabetes Mellitus, Female, Humans, Hypoglycemic Agents, Insulin, Male, Middle Aged, Surveys and Questionnaires, Drug Monitoring, Medication Adherence
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