Many medicaid patients skip drugs that could prevent heart trouble

July 20, 2012
Many medicaid patients skip drugs that could prevent heart trouble
Simple measures can keep patients on track, researchers say.

(HealthDay) -- Many Medicaid recipients with chronic health conditions that can lead to heart disease -- diabetes, high blood pressure and high cholesterol -- do not take their prescribed medications, a new study has found.

The researchers said failure to take medications leads to higher costs of care and an increased risk of hospitalization and even death.

They looked at 2008 and 2009 data from more than 150,000 in New York City, aged 20 to 64, and found that only 63 percent of those with the three chronic conditions took their prescribed medications. Older patients and white and were most likely to take their medications, while black and Hispanic patients were least likely.

"The outcome of this study is concerning, as it shows a large number of people with chronic conditions that lead to cardiovascular disease aren't taking prescribed medications, which could prevent a potential stroke or heart attack," lead author Dr. Kelly Kyanko, an instructor in the department of population health at the NYU Langone Medical Center, said in a center news release.

"We hope these findings will help local in the New York City area address this problem by creating programs to increase adherence rates, specifically in patient populations most at risk," Kyanko added.

The study was published online recently in the Journal of Urban Health.

"We believe that patients and their doctors can work to improve through simple measures such as switching to once-a-day or combination pills, keeping a pill box and obtaining 90-day refills instead of 30-day refills for medications they take on a regular basis," Kyanko said.

High-risk patients may require more intensive interventions, such as working with a nurse or pharmacist to ensure they take their , she added.

Cardiovascular disease is the leading cause of death both in New York and in the United States, according to the release.

Explore further: Depression associated with poor medication adherence in patients with chronic illnesses

More information: The U.S. Centers for Disease Control and Prevention outlines ways to prevent heart disease.

Related Stories

Depression associated with poor medication adherence in patients with chronic illnesses

May 10, 2011
People who are depressed are less likely to adhere to medications for their chronic health problems than patients who are not depressed, putting them at increased risk of poor health, according to a new RAND Corporation study.

Study: Most at-risk patients don't adhere to statin treatment, despite real benefits

May 12, 2011
A new study from North Carolina State University shows that the vast majority of patients at high risk for heart disease or stroke do a poor job of taking statins as prescribed. That's especially unfortunate, because the ...

Take your blood pressure meds before bed

October 24, 2011
It's better to take blood pressure-lowering medications before bed rather than first thing in the morning, according to a study appearing in an upcoming issue of the Journal of the American Society Nephrology (JASN). The ...

Physicians don't adequately monitor patients' medication adherence

July 16, 2012
Patients' non-adherence to prescribed medication costs the U.S. health care system an estimated $290 billion annually and can lead to poor clinical outcomes, increased hospitalizations and higher mortality.

Integrating medication regimens into daily routines can improve adherence

September 19, 2011
For medications to be effective, they must be taken in the correct dosage at the right time, as prescribed by healthcare providers. The World Health Organization estimates that half of patients take their medications incorrectly, ...

Integrated health care delivery system and electronic health records support medication adherence

September 6, 2011
People who receive medical care in an integrated health care system with electronic health records linked to its own pharmacy more often collect their new prescriptions for diabetes, cholesterol and high blood pressure medications ...

Recommended for you

Deadly heart rhythm halted by noninvasive radiation therapy

December 13, 2017
Radiation therapy often is used to treat cancer patients. Now, doctors at Washington University School of Medicine in St. Louis have shown that radiation therapy—aimed directly at the heart—can be used to treat patients ...

Scientists rewrite our understanding of how arteries mend

December 13, 2017
Scientists from The University of Manchester have discovered how the severity of trauma to arterial blood vessels governs how the body repairs itself.

Ultra-thin tissue samples could help to understand and treat heart disease

December 12, 2017
A new method for preparing ultra-thin slices of heart tissue in the lab could help scientists to study how cells behave inside a beating heart.

Research reveals how diabetes in pregnancy affects baby's heart

December 12, 2017
Researchers at the Eli and Edythe Broad Center of Regenerative Medicine and Stem Cell Research at UCLA have discovered how high glucose levels—whether caused by diabetes or other factors—keep heart cells from maturing ...

Young diabetics could have seven times higher risk for sudden cardiac death

December 12, 2017
Young diabetics could have seven times more risk of dying from sudden cardiac arrest than their peers who don't have diabetes, according to new research.

Blood flow–sensing protein protects against atherosclerosis in mice

December 12, 2017
UCLA scientists have found that a protein known as NOTCH1 helps ward off inflammation in the walls of blood vessels, preventing atherosclerosis—the narrowing and hardening of arteries that can cause heart attacks and strokes. ...

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.