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Prescription drug assistance for elderly patients in the emergency department

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    1 15 Michigan St NE 736B, Grand Rapids, MI 49503, United States of America.
    Lindsey Ouellette
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    1 15 Michigan St NE 736B, Grand Rapids, MI 49503, United States of America.
    Affiliations
    Department of Emergency Medicine, Michigan State University College of Human Medicine, Grand Rapids, MI, United States
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    2 15 Michigan St NE Suite 701, Grand Rapids, MI 49503, United States of America.
    Rachelle Halasa
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    2 15 Michigan St NE Suite 701, Grand Rapids, MI 49503, United States of America.
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    Department of Emergency Medicine, Michigan State University College of Human Medicine, Grand Rapids, MI, United States
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    2 15 Michigan St NE Suite 701, Grand Rapids, MI 49503, United States of America.
    Andrew Brown
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    2 15 Michigan St NE Suite 701, Grand Rapids, MI 49503, United States of America.
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    Department of Emergency Medicine, Michigan State University College of Human Medicine, Grand Rapids, MI, United States
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    2 15 Michigan St NE Suite 701, Grand Rapids, MI 49503, United States of America.
    Ryan Beckett
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    2 15 Michigan St NE Suite 701, Grand Rapids, MI 49503, United States of America.
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    Department of Emergency Medicine, Michigan State University College of Human Medicine, Grand Rapids, MI, United States
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    2 15 Michigan St NE Suite 701, Grand Rapids, MI 49503, United States of America.
    Deven Patel
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    2 15 Michigan St NE Suite 701, Grand Rapids, MI 49503, United States of America.
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    Department of Emergency Medicine, Michigan State University College of Human Medicine, Grand Rapids, MI, United States
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    2 15 Michigan St NE Suite 701, Grand Rapids, MI 49503, United States of America.
    Todd Chassee
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    2 15 Michigan St NE Suite 701, Grand Rapids, MI 49503, United States of America.
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    Department of Emergency Medicine, Michigan State University College of Human Medicine, Grand Rapids, MI, United States

    Spectrum Health Hospitals, Grand Rapids, MI, United States
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    2 15 Michigan St NE Suite 701, Grand Rapids, MI 49503, United States of America.
    Chad Sutliffe
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    2 15 Michigan St NE Suite 701, Grand Rapids, MI 49503, United States of America.
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    Allied Health Sciences Department, Grand Valley State University, Grand Rapids, MI, United States
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  • Jeffrey Jones
    Correspondence
    Corresponding author at: 15 Michigan St NE Suite 701, Grand Rapids, MI 49503, United States of America.
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    Department of Emergency Medicine, Michigan State University College of Human Medicine, Grand Rapids, MI, United States

    Spectrum Health Hospitals, Grand Rapids, MI, United States
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  • Author Footnotes
    1 15 Michigan St NE 736B, Grand Rapids, MI 49503, United States of America.
    2 15 Michigan St NE Suite 701, Grand Rapids, MI 49503, United States of America.
Published:October 25, 2018DOI:https://doi.org/10.1016/j.ajem.2018.10.053
      Over the past decade, prescription drug costs have risen rapidly and an increasing number of demographic groups, including many older Americans, are unable to afford their medications. This aging population, especially those with other risk factors, are at risk for medication non-adherence due to the inability to afford prescriptions [
      • Mazer M.
      • Bisgaier J.
      • Dailey E.
      • et al.
      Risk for cost-related medication non-adherence among emergency department patients.
      ,
      • Gellad W.F.
      • Grenard J.L.
      • Marcum Z.A.
      A systematic review of barriers to medication adherence in the elderly: looking beyond cost and regimen complexity.
      ,
      • Hugtenburg J.G.
      • Timmers L.
      • Elders P.J.
      • Vervloet M.
      • van Dijk L.
      Definitions, variants, and causes of nonadherence with medication: a challenge for tailored interventions.
      ]. Prior work has shown that cost-related noncompliance is common among the general population of emergency department users. In one study, 25% of emergency department (ED) patients reported cost-related barriers or concerns related to obtaining medications [
      • Jacobson G.
      • Neuman T.
      • Damico A.
      • Lyons B.
      The role of Medicare for people dually eligible for Medicare and Medicaid.
      ]. Additionally, Blanchard et al. found an association between severe cost-related noncompliance and ED utilization among a population of Medicare beneficiaries [
      • Blanchard J.
      • Madden J.M.
      • Ross-Degnan D.
      • Soumerai S.B.
      The relationship between emergency department use and cost-related medication nonadherence among Medicare beneficiaries.
      ]. This study aims to identify characteristics of elderly patients in an urban academic ED who are unable to pay for prescription medication and target strategies employed by ED social workers to help patients cope with rising out-of-pocket expenses.

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      References

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        Risk for cost-related medication non-adherence among emergency department patients.
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