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US veterans use vitamins and supplements as substitutes for prescription medication.

Published on Dec 1, 2014in Medical Care3.795
· DOI :10.1097/MLR.0000000000000199
Jennifer N. Goldstein3
Estimated H-index: 3
,
Judith A. Long25
Estimated H-index: 25
+ 2 AuthorsJun J. Mao31
Estimated H-index: 31
Abstract
Background:Vitamins and supplements are the most commonly used form of complementary and alternative medicine in the United States. Growing research suggests that patients substitute vitamins and supplements for their prescription medications. The reasons might include cost of prescription medicatio
  • References (20)
  • Citations (5)
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References20
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#1Jean YoonH-Index: 10
#2Donna M. ZulmanH-Index: 19
Last. Matthew L. MaciejewskiH-Index: 38
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Background: Multimorbidity (the presence of multiple chronic conditions) is associated with high levels of healthcare utilization and associated costs. We investigated the association between number of chronic conditions and costs of care for nonelderly and elderly Veterans Affairs (VA) patients, and estimated mean VA healthcare costs for the most prevalent and most costly combinations of 3 conditions (triads). Methods: We identified a cohort of 5,233,994 patients who received care within the VA...
51 CitationsSource
Abstract Value-based insurance design (VBID) initiatives have been associated with modest improvements in adherence based on evaluations of administrative claims data. The objective of this prospective cohort study was to report the patient-centered outcomes of a VBID program that eliminated co-payments for diabetes-related medications and supplies for employees and dependents with diabetes at a large health system. The authors compared self-reported values of medication adherence, cost-related ...
14 CitationsSource
#1Joseph G. Grzywacz (Wake Forest University)H-Index: 50
#2Rebecca H. Neiberg (Wake Forest University)H-Index: 23
Last. Thomas A. Arcury (Wake Forest University)H-Index: 56
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Summary The Complementary and Alternative Medicine Beliefs Inventory (CAMBI) was developed to provide a comprehensive measure of beliefs believed to differentiate complementary therapy (CT) users from nonusers. The initial evaluation of the CAMBI was based on a relatively homogeneous sample of CT users, which raises questions about its applicability in more generalized samples. This study uses data from a community-based sample of older adults ( N =200) to evaluate the utility of the CAMBI in mo...
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#1Jacob E. KurlanderH-Index: 8
#2Eve A. KerrH-Index: 42
Last. John D. PietteH-Index: 63
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OBJECTIVE In the face of financial constraints, diabetic patients may forgo prescribed medications, causing negative health effects. This study examined how cost and noncost factors are associated with patterns of cost-related nonadherence to medications (CRN). RESEARCH DESIGN AND METHODS This was a cross-sectional survey of patients using medications for both diabetes and chronic pain ( n = 245). Patients reported their income, out-of-pocket medication costs, education level, depressive symptom...
51 CitationsSource
#1Richard L. Nahin (NIH: National Institutes of Health)H-Index: 37
#2Monica Pecha (UW: University of Washington)H-Index: 1
Last. Annette L. Fitzpatrick (UW: University of Washington)H-Index: 62
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OBJECTIVES: To analyze baseline data on concomitant use of prescription drugs and dietary supplements in elderly people from the Ginkgo Evaluation of Memory (GEM) Study, in which information was collected on all drugs and supplements used by participant. DESIGN: Cross-sectional correlation analysis. SETTING: GEM Study sites in California, Maryland, North Carolina, and Pennsylvania. PARTICIPANTS: Three thousand seventy ambulatory individuals aged 75 and older enrolled between September 2000 and J...
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#1Jalpa A. Doshi (UPenn: University of Pennsylvania)H-Index: 36
#2Jingsan Zhu (UPenn: University of Pennsylvania)H-Index: 25
Last. Kevin G. Volpp (UPenn: University of Pennsylvania)H-Index: 50
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Background— In February 2002, the Department of Veterans Affairs (VA) increased copayments from 2 to per 30-day drug supply of each medication for many veterans. We examined the impact of the copayment increase on lipid-lowering medication adherence. Methods and Results— This quasiexperimental study used electronic records of 5604 veterans receiving care at the Philadelphia VA Medical Center from November 1999 to April 2004. The all copayment group included veterans subject to copayments for...
129 CitationsSource
#1Judy A. Shea (UPenn: University of Pennsylvania)H-Index: 54
#2Ellyn Micco (UPenn: University of Pennsylvania)H-Index: 7
Last. Katrina Armstrong (UPenn: University of Pennsylvania)H-Index: 56
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Context Growing evidence suggests that most forms of distrust are multidimensional, including domains of technical competence and value congruence. Prior measures of health care system distrust have not reflected this multidimensional structure and may be limiting research into the role of health care system distrust in health and health care in the US.
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#1Katrina Armstrong (UPenn: University of Pennsylvania)H-Index: 56
#2Suzanne McMurphy (UPenn: University of Pennsylvania)H-Index: 5
Last. Judy A. Shea (UPenn: University of Pennsylvania)H-Index: 54
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Context Although health care-related distrust may contribute to racial disparities in health and health care in the US, current evidence about racial differences in distrust is often conflicting, largely limited to measures of physician trust, and rarely linked to multidimensional trust or distrust.
133 CitationsSource
#1Michael D. Murray (UNC: University of North Carolina at Chapel Hill)H-Index: 45
#2James B. YoungH-Index: 117
Last. D. Craig Brater (IU: Indiana University)H-Index: 26
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Background: Patients with heart failure who take several prescription medications sometimes have poor adherence to their treatment regimens. Few interventions designed to improve adherence to therapy have been rigorously tested. Objective: To determine whether a pharmacist intervention improves medication adherence and health outcomes compared with usual care for low-income patients with heart failure. Design: Randomized, controlled trial conducted from February 2001 to June 2004. Setting: Unive...
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#1Paula Gardiner (Harvard University)H-Index: 41
#2Robert Graham (Mount Auburn Hospital)H-Index: 8
Last. Russell S. PhillipsH-Index: 95
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Background: We examined the patterns of nonvitamin dietary supplement (NVDS) use among adult prescription medication users in the United States. Methods:Usingthe2002NationalHealthInterviewSurvey, we analyzed factors associated with NVDS use and prescription medication use in the prior 12 months with descriptive, 2 , and logistic regression analysis. Results: In the United States, 21% of adult prescription medication users reported using NVDSs in the prior 12 months. Of the respondents who used b...
126 CitationsSource
Cited By5
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#1Maria J. Peláez-Jaramillo (University of Los Andes)H-Index: 1
#2Natalia Valencia-Enciso (University of Los Andes)H-Index: 1
Last. Carlos O. Mendivil (University of Los Andes)H-Index: 12
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Introduction To evaluate the effect of a lipid-based formulation containing unusual polyunsaturated fatty acids, trace elements, polyphenols and plant sterols on insulin resistance and its associated disturbances among adults at risk of diabetes.
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#1Tommaso SciarraH-Index: 2
#2Mario Ciccotti (Sapienza University of Rome)H-Index: 1
Last. Florigio ListaH-Index: 1
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#1Loren J. Schleiden (University of Pittsburgh)H-Index: 6
#2Carolyn T. Thorpe (UNC: University of North Carolina at Chapel Hill)H-Index: 22
Last. Joshua M. Thorpe (UNC: University of North Carolina at Chapel Hill)H-Index: 19
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Abstract Background Obtaining prescription medications from multiple health systems may complicate coordination of care. Older Veterans who obtain medications concurrently through Veterans Affairs (VA) benefits and Medicare Part D benefits (dual users) are at higher risk of unintended negative outcomes. Objective: To explore characteristics predicting dual drug benefit use from both VA and Medicare Part D in a national sample of older Veterans with dementia. Methods Administrative data were obta...
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#1Jennifer N. Goldstein (Christiana Care Health System)H-Index: 3
#2J. Sanford Schwartz (UPenn: University of Pennsylvania)H-Index: 61
Last. LeRoi S. Hicks (Christiana Care Health System)H-Index: 4
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Medicare beneficiaries hospitalized under observation status have significant cost-sharing responsibilities under Medicare Part B. Prior work has demonstrated an association between increased cost-sharing and health care rationing among low-income Medicare beneficiaries. The objective of this study was to explore the potential impact of observation cost-sharing on future medical decision making of Medicare beneficiaries. Single-center pilot cohort study. A convenience sample of Medicare benefici...
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#1Jennifer N. Goldstein (Christiana Care Health System)H-Index: 3
#2Zugui Zhang (Christiana Care Health System)H-Index: 1
Last. LeRoi S. Hicks (Christiana Care Health System)H-Index: 4
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Abstract Background Medicare beneficiaries hospitalized under observation status are subject to cost-sharing with no spending limit under Medicare Part B. Because low-income status is associated with increased hospital use, there is concern that such beneficiaries may be at increased risk for high use and out-of-pocket costs related to observation care. Our objective was to determine whether low-income Medicare beneficiaries are at risk for high use and high financial liability for observation c...
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#1Eran Ben-Arye (Clalit Health Services)H-Index: 23
#2Samuel Attias (University of Haifa)H-Index: 8
Last. Elad SchiffH-Index: 19
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Abstract Objective We aim to compare patients’ perspectives on communication with their hospital physicians (HPs) and primary care physicians (PCPs) on patients' dietary and herbal supplements (DHS) use. Methods We conducted a cross-sectional prospective study among in-patients using structured questionnaires on DHS use. Multivariate logistic regression models assessed variables influencing doctor-related reasons for patients' nondisclosure of supplement use. Results Of 452 DHS users identified,...
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