PIH34 - Public Perspectives On Cost-Related Non-Adherence Among Patients

Abstract

Cost-related non-adherence (CRN) is a highly prevalent phenomenon among patients; it is estimated that one-thirds of adult population resort to CRN under cost pressures, leading to declining health conditions. Currently there is a lack of studies that provide an insight into the issue using primary research data. The objective of this study was to explore public perspectives of CRN, assess the relevance of the associated factors, and provide future recommendations for effective strategies targeting CRN behaviors. Using a descriptive, cross-sectional design, and convenience sampling, four focus groups were conducted among students aged 18 years and older at Long Island University (LIU), NY, during a two month period. Data obtained was analyzed using MS Excel and Nvivo. Permission for the study was obtained from the Investigational Review Board of LIU, and individual Informed Consents were obtained from participants. Using data from 36 consenting participants, it was concluded that medication costs was the number one reason for medication non-adherence in patients. Additionally, the factors ‘out-of-pocket costs’ and ‘prescription coverage’ were ranked ‘extremely important factors’ by more than half of the participants. Contradictory to the findings of a previous study, ‘burden of chronic illnesses’ was perceived to be major contributor to CRN as well. The study is unique since it helped understand the phenomenon of CRN among patients from the most important perspective, that of the public. Based on the ranking of important factors associated with CRN, future recommendations are made for effective strategies to ameliorate the high rates of CRN among patients.