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Disparity implications of the Medicare medication therapy management eligibility criteria: a literature review.
Munshi, Kiraat D; Shih, Ya-Chen T; Brown, Lawrence M; Dagogo-Jack, Samuel; Wan, Jim Y; Wang, Junling.
Afiliación
  • Munshi KD; Department of Clinical Pharmacy, University of Tennessee College of Pharmacy, 881 Madison Ave., Room 212, Memphis, TN 38163, USA.
Expert Rev Pharmacoecon Outcomes Res ; 13(2): 201-16, 2013 Apr.
Article en En | MEDLINE | ID: mdl-23570431
The emphasis on eliminating racial and ethnic disparities in healthcare has received national attention, with various policy initiatives addressing this problem and proposing solutions. However, in the current economic era requiring tight monetary constraints, emphasis is increasingly being placed on economic efficiency, which often conflicts with the equality doctrine upon which many policies have been framed. The authors' review aims to highlight the disparity implications of one such policy provision - the predominantly utilization-based eligibility criteria for medication therapy management services under Medicare Part D - by identifying studies that have documented racial and ethnic disparities in health status and the use of and spending on prescription medications. Future design and evaluation of various regulations and legislations employing utilization-based eligibility criteria must use caution in order to strike an equity-efficiency balance.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Administración del Tratamiento Farmacológico / Medicare Part D / Disparidades en Atención de Salud Tipo de estudio: Prognostic_studies Aspecto: Determinantes_sociais_saude / Equity_inequality / Patient_preference Límite: Humans País/Región como asunto: America do norte Idioma: En Revista: Expert Rev Pharmacoecon Outcomes Res Asunto de la revista: FARMACOLOGIA Año: 2013 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Administración del Tratamiento Farmacológico / Medicare Part D / Disparidades en Atención de Salud Tipo de estudio: Prognostic_studies Aspecto: Determinantes_sociais_saude / Equity_inequality / Patient_preference Límite: Humans País/Región como asunto: America do norte Idioma: En Revista: Expert Rev Pharmacoecon Outcomes Res Asunto de la revista: FARMACOLOGIA Año: 2013 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido