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dc.contributor.authorStankuniene, Aurima
dc.contributor.authorStankunas, Mindaugas
dc.contributor.authorAvery, Mark
dc.contributor.authorLindert, Jutta
dc.contributor.authorMikalauskiene, Rita
dc.contributor.authorMelchiorre, Maria Gabriella
dc.contributor.authorTorres-Gonzalez, Francisco
dc.contributor.authorIoannidi-Kapolou, Elisabeth
dc.contributor.authorBarros, Henrique
dc.contributor.authorSavickas, Arunas
dc.contributor.authorRadziunas, Raimondas
dc.contributor.authorSoares, Joaquim JF
dc.date.accessioned2017-07-04T02:34:20Z
dc.date.available2017-07-04T02:34:20Z
dc.date.issued2015
dc.identifier.issn1472-6963
dc.identifier.doi10.1186/s12913-015-1089-4
dc.identifier.urihttp://hdl.handle.net/10072/141378
dc.description.abstractBackground: The aim of this study was to evaluate the prevalence of self-reported underuse of medications due to procurement costs amongst older persons from seven European urban communities. Methods: The data were collected in a cross-sectional study (“ABUEL, Elder abuse: A multinational prevalence survey”) in 2009. Randomly selected people aged 60–84 years (n = 4,467) from seven urban communities: Stuttgart (Germany), Athens (Greece), Ancona (Italy), Kaunas (Lithuania), Porto (Portugal), Granada (Spain) and Stockholm (Sweden) were interviewed. Response rate - 45.2 %. Ethical permission was received in each country. Results: The results indicate that 3.6 % (n = 162) of the respondents self-reported refraining from buying prescribed medications due to cost. The highest prevalence of this problem was identified in Lithuania (15.7 %, n = 99) and Portugal (4.3 %, n = 28). Other countries reported lower percentages of refraining from buying medications (Germany – 2.0 %, Italy – 1.6 %, Sweden – 1.0 %, Greece – 0.6 %, Spain – 0.3 %). Females refrained more often from buying medications than males (2.6 % vs. 4.4 %, p < 0.0001). The prevalence of this refraining tended to increase with economic hardship. Discussion: These differences between countries can be only partly described by the financing of health-care systems. In spite of the presence of cost reimbursement mechanisms, patients need to make co-payments (or in some cases to pay the full price) for prescribed medications. This indicates that the purchasing power of people in 10.1186/s12913-015-1089-4 the particular country can play a major role and be related with the economic situation in the country. Lithuania, which has reported the highest refrain rates, had the lowest gross domestic product (at the time of conducting this study) of all participating countries in the study. Conclusions: Refraining from buying the prescribed medications due to cost is a problem for women and men in respect to ageing people in Europe. Prevalence varies by country, sex, and economic hardship.
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherBioMed Central
dc.relation.ispartofpagefrom419-1
dc.relation.ispartofpageto419-8
dc.relation.ispartofjournalBMC Health Services Research
dc.relation.ispartofvolume15
dc.subject.fieldofresearchLibrary and information studies
dc.subject.fieldofresearchNursing
dc.subject.fieldofresearchcode4610
dc.subject.fieldofresearchcode4205
dc.titleThe prevalence of self-reported underuse of medications due to cost for the elderly: results from seven European urban communities
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
dcterms.licensehttp://creativecommons.org/licenses/by/4.0/
dc.description.versionVersion of Record (VoR)
gro.rights.copyright© 2015 Stankuniene et al. Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
gro.hasfulltextFull Text
gro.griffith.authorAvery, Mark
gro.griffith.authorStankunas, Mindaugas


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