An evidence-based model to consolidate medication adherence cost estimation: The medication adherence cost estimation framework

Publication Type:
Journal Article
Citation:
Journal of Comparative Effectiveness Research, 2019, 8 (8), pp. 555 - 567
Issue Date:
2019-06-01
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© 2019 Future Medicine Ltd. Aim: To develop a standardized framework determining the economic impact of medication nonadherence. Materials & methods: Secondary analysis of existing literature reported cost data, aggregating cost outcome indicators. Weighted-average cost analysis performed, determining the proportional contribution to total cost. Results: Direct costs were reported in 92% of studies and indirect costs in 4% of studies. Three most utilized cost categories were hospital (68%), primary care (18%) and pharmacy costs (72%). Average unadjusted direct costs ranged from $625 to $154,203 contributing to 88% of the total cost; adjusted medical costs ranged from $565 to $56,313 representing 96% of the total cost. Conclusion: The medication adherence cost estimation framework enables the comparison of costing studies, facilitating informed health policy decision-making based on consistent evidence and terminology.
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