Many Medicaid Patients Skip Drugs That Could Prevent Heart Trouble

FRIDAY, July 20 (HealthDay News) — 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 Medicaid
patients 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 Asian patients 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 health authorities 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
medication adherence 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 prescribed
medications, she added.

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

More information

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

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