Factors Associated with Free Medicine Use in Patients with Hypertension and Diabetes: A 4-Year Longitudinal Study on Full Coverage Policy for Essential Medicines in Taizhou, China

Full coverage policies for medicines have been implemented worldwide to alleviate medicine cost burden and promote access to medicines. However, few studies have explored the factors associated with free medicine use in patients with chronic diseases. This study aimed to analyze the utilization of f...

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Autores principales:	Zhigang Guo, Lin Bai, Zhenhuan Luo, Mengyuan Fu, Liguang Zheng, Xiaodong Guan, Luwen Shi
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	free medicine use full coverage policy hypertension diabetes essential medicines China Medicine R
Acceso en línea:	https://doaj.org/article/1b85c96344db4b7c8964c58f91af1ec4
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spelling	oai:doaj.org-article:1b85c96344db4b7c8964c58f91af1ec42021-11-25T17:49:52ZFactors Associated with Free Medicine Use in Patients with Hypertension and Diabetes: A 4-Year Longitudinal Study on Full Coverage Policy for Essential Medicines in Taizhou, China10.3390/ijerph1822119661660-46011661-7827https://doaj.org/article/1b85c96344db4b7c8964c58f91af1ec42021-11-01T00:00:00Zhttps://www.mdpi.com/1660-4601/18/22/11966https://doaj.org/toc/1661-7827https://doaj.org/toc/1660-4601Full coverage policies for medicines have been implemented worldwide to alleviate medicine cost burden and promote access to medicines. However, few studies have explored the factors associated with free medicine use in patients with chronic diseases. This study aimed to analyze the utilization of free medicines by patients with hypertension and diabetes after the implementation of the full coverage policy for essential medicines (FCPEM) in Taizhou, China, and to explore the factors associated with free medicine use. We conducted a descriptive analysis of characteristics of patients with and without free medicine use and performed a panel logit model to examine factors associated with free medicine use, based on an electronic health record database in Taizhou from the baseline year (12 months in priori) to three years after FCPEM implementation. After FCPEM implementation, the proportion of patients without any free medicine use decreased from 31.1% in the baseline year to 28.9% in the third year, while that of patients taking free medicines rose from 11.0% to 22.8%. Patients with lower income or education level, those with agricultural <i>hukou</i>, patients aged 65 and above, married patients, and patients in the Huangyan district were more likely to take free medicines. In conclusion, FCPEM contributed to improved medicine access, especially in vulnerable populations. Local policy makers should consider expanding the coverage of FCPEM to other types of medicines and cultivate the potential of social supports for patients to enhance the effectiveness of FCPEM policies.Zhigang GuoLin BaiZhenhuan LuoMengyuan FuLiguang ZhengXiaodong GuanLuwen ShiMDPI AGarticlefree medicine usefull coverage policyhypertensiondiabetesessential medicinesChinaMedicineRENInternational Journal of Environmental Research and Public Health, Vol 18, Iss 11966, p 11966 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	free medicine use full coverage policy hypertension diabetes essential medicines China Medicine R
spellingShingle	free medicine use full coverage policy hypertension diabetes essential medicines China Medicine R Zhigang Guo Lin Bai Zhenhuan Luo Mengyuan Fu Liguang Zheng Xiaodong Guan Luwen Shi Factors Associated with Free Medicine Use in Patients with Hypertension and Diabetes: A 4-Year Longitudinal Study on Full Coverage Policy for Essential Medicines in Taizhou, China
description	Full coverage policies for medicines have been implemented worldwide to alleviate medicine cost burden and promote access to medicines. However, few studies have explored the factors associated with free medicine use in patients with chronic diseases. This study aimed to analyze the utilization of free medicines by patients with hypertension and diabetes after the implementation of the full coverage policy for essential medicines (FCPEM) in Taizhou, China, and to explore the factors associated with free medicine use. We conducted a descriptive analysis of characteristics of patients with and without free medicine use and performed a panel logit model to examine factors associated with free medicine use, based on an electronic health record database in Taizhou from the baseline year (12 months in priori) to three years after FCPEM implementation. After FCPEM implementation, the proportion of patients without any free medicine use decreased from 31.1% in the baseline year to 28.9% in the third year, while that of patients taking free medicines rose from 11.0% to 22.8%. Patients with lower income or education level, those with agricultural <i>hukou</i>, patients aged 65 and above, married patients, and patients in the Huangyan district were more likely to take free medicines. In conclusion, FCPEM contributed to improved medicine access, especially in vulnerable populations. Local policy makers should consider expanding the coverage of FCPEM to other types of medicines and cultivate the potential of social supports for patients to enhance the effectiveness of FCPEM policies.
format	article
author	Zhigang Guo Lin Bai Zhenhuan Luo Mengyuan Fu Liguang Zheng Xiaodong Guan Luwen Shi
author_facet	Zhigang Guo Lin Bai Zhenhuan Luo Mengyuan Fu Liguang Zheng Xiaodong Guan Luwen Shi
author_sort	Zhigang Guo
title	Factors Associated with Free Medicine Use in Patients with Hypertension and Diabetes: A 4-Year Longitudinal Study on Full Coverage Policy for Essential Medicines in Taizhou, China
title_short	Factors Associated with Free Medicine Use in Patients with Hypertension and Diabetes: A 4-Year Longitudinal Study on Full Coverage Policy for Essential Medicines in Taizhou, China
title_full	Factors Associated with Free Medicine Use in Patients with Hypertension and Diabetes: A 4-Year Longitudinal Study on Full Coverage Policy for Essential Medicines in Taizhou, China
title_fullStr	Factors Associated with Free Medicine Use in Patients with Hypertension and Diabetes: A 4-Year Longitudinal Study on Full Coverage Policy for Essential Medicines in Taizhou, China
title_full_unstemmed	Factors Associated with Free Medicine Use in Patients with Hypertension and Diabetes: A 4-Year Longitudinal Study on Full Coverage Policy for Essential Medicines in Taizhou, China
title_sort	factors associated with free medicine use in patients with hypertension and diabetes: a 4-year longitudinal study on full coverage policy for essential medicines in taizhou, china
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/1b85c96344db4b7c8964c58f91af1ec4
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Factors Associated with Free Medicine Use in Patients with Hypertension and Diabetes: A 4-Year Longitudinal Study on Full Coverage Policy for Essential Medicines in Taizhou, China

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