Evaluation of Hospital-Based Acute Care Utilization by Uninsured Patients Enrolled in Free or Low-Cost Pharmacy Programs

Background: Research is warranted to define the role of affordable pharmacy programs in optimizing healthcare utilization for uninsured patients. Methods: This was a pre-post study including uninsured patients from an internal medicine residency clinic who enrolled in free or low-cost pharmacy pr...

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Autores principales:	Jessica Stickel, Jennifer Kim
Formato:	article
Lenguaje:	EN
Publicado:	University of Minnesota Libraries Publishing 2021
Materias:	uninsured, indigent care, hospital admissions, medication access, clinic-embedded pharmacist or primary care pharmacist Pharmacy and materia medica RS1-441
Acceso en línea:	https://doaj.org/article/f2c5ca7a677a4b81adac0d36f04177d8
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spelling	oai:doaj.org-article:f2c5ca7a677a4b81adac0d36f04177d82021-12-05T18:44:08ZEvaluation of Hospital-Based Acute Care Utilization by Uninsured Patients Enrolled in Free or Low-Cost Pharmacy Programs10.24926/iip.v12i4.39982155-0417https://doaj.org/article/f2c5ca7a677a4b81adac0d36f04177d82021-09-01T00:00:00Zhttps://pubs.lib.umn.edu/index.php/innovations/article/view/3998https://doaj.org/toc/2155-0417 Background: Research is warranted to define the role of affordable pharmacy programs in optimizing healthcare utilization for uninsured patients. Methods: This was a pre-post study including uninsured patients from an internal medicine residency clinic who enrolled in free or low-cost pharmacy programs with clinical pharmacist support. Results: In the period following program enrollment (N=116), there was a mean decrease of 0.23 acute care encounters (hospitalizations and emergency department [ED] visits) per patient (p=0.0210, 95% CI 0.04-0.43). The mean decrease for hospitalizations was also statistically significant (0.17, p=0.0052, 95% CI 0.05-0.28), but the mean decrease for ED visits was not (0.06, p=0.3771, 95% CI -0.08-0.21). Using the national average hospitalization cost of $10,700, the decrease in hospitalizations represents an estimated savings of $246,100. Conclusions: Enrollment in affordable pharmacy programs was found to be associated with decreased acute care encounters. Jessica StickelJennifer KimUniversity of Minnesota Libraries Publishingarticleuninsured, indigent care, hospital admissions, medication access, clinic-embedded pharmacist or primary care pharmacistPharmacy and materia medicaRS1-441ENINNOVATIONS in Pharmacy, Vol 12, Iss 4 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	uninsured, indigent care, hospital admissions, medication access, clinic-embedded pharmacist or primary care pharmacist Pharmacy and materia medica RS1-441
spellingShingle	uninsured, indigent care, hospital admissions, medication access, clinic-embedded pharmacist or primary care pharmacist Pharmacy and materia medica RS1-441 Jessica Stickel Jennifer Kim Evaluation of Hospital-Based Acute Care Utilization by Uninsured Patients Enrolled in Free or Low-Cost Pharmacy Programs
description	Background: Research is warranted to define the role of affordable pharmacy programs in optimizing healthcare utilization for uninsured patients. Methods: This was a pre-post study including uninsured patients from an internal medicine residency clinic who enrolled in free or low-cost pharmacy programs with clinical pharmacist support. Results: In the period following program enrollment (N=116), there was a mean decrease of 0.23 acute care encounters (hospitalizations and emergency department [ED] visits) per patient (p=0.0210, 95% CI 0.04-0.43). The mean decrease for hospitalizations was also statistically significant (0.17, p=0.0052, 95% CI 0.05-0.28), but the mean decrease for ED visits was not (0.06, p=0.3771, 95% CI -0.08-0.21). Using the national average hospitalization cost of $10,700, the decrease in hospitalizations represents an estimated savings of $246,100. Conclusions: Enrollment in affordable pharmacy programs was found to be associated with decreased acute care encounters.
format	article
author	Jessica Stickel Jennifer Kim
author_facet	Jessica Stickel Jennifer Kim
author_sort	Jessica Stickel
title	Evaluation of Hospital-Based Acute Care Utilization by Uninsured Patients Enrolled in Free or Low-Cost Pharmacy Programs
title_short	Evaluation of Hospital-Based Acute Care Utilization by Uninsured Patients Enrolled in Free or Low-Cost Pharmacy Programs
title_full	Evaluation of Hospital-Based Acute Care Utilization by Uninsured Patients Enrolled in Free or Low-Cost Pharmacy Programs
title_fullStr	Evaluation of Hospital-Based Acute Care Utilization by Uninsured Patients Enrolled in Free or Low-Cost Pharmacy Programs
title_full_unstemmed	Evaluation of Hospital-Based Acute Care Utilization by Uninsured Patients Enrolled in Free or Low-Cost Pharmacy Programs
title_sort	evaluation of hospital-based acute care utilization by uninsured patients enrolled in free or low-cost pharmacy programs
publisher	University of Minnesota Libraries Publishing
publishDate	2021
url	https://doaj.org/article/f2c5ca7a677a4b81adac0d36f04177d8
work_keys_str_mv	AT jessicastickel evaluationofhospitalbasedacutecareutilizationbyuninsuredpatientsenrolledinfreeorlowcostpharmacyprograms AT jenniferkim evaluationofhospitalbasedacutecareutilizationbyuninsuredpatientsenrolledinfreeorlowcostpharmacyprograms
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Evaluation of Hospital-Based Acute Care Utilization by Uninsured Patients Enrolled in Free or Low-Cost Pharmacy Programs

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