HOME >> MEDICINE >> NEWS
Prescription drug coverage: An essential service or fringe benefit?

One of the contradictions of the Canada Health Act is that it covers medically necessary services provided by physicians in hospital or in the community, but when it comes to medically necessary drugs, it covers only those prescribed in hospital.

In British Columbia, patients aged 65 years and older are required to pay dispensing fees of their prescription drugs up to an annual maximum of $200, beyond which all of their drug costs are covered for the rest of the year.

Aslam Anis and colleagues wondered whether this policy could be detrimental. They identified almost 3000 patients with a severe chronic illness (rheumatoid arthritis) in British Columbia and looked at their patterns of physician visits, filling of prescriptions and hospital admissions during the cost-sharing period (before the annual maximum of $200 had been reached) and during the "free" period (when all drug costs were covered to the end of the year) in each of 4 years. The authors found that there were 0.38 more physician visits per month and 0.50 fewer prescriptions filled per month during the cost-sharing period than during the free period. In addition, among patients who were admitted to the hospital, there were 0.013 more admissions per month during the cost-sharing period than during the free period.

In an accompanying commentary, Robyn Tamblyn points out that, although the federal government's national drug strategy goes beyond many prior policy reforms in addressing the challenges in optimizing the cost-effective use of prescription drugs, it ignores the fundamental inequity between the provinces. She adds that the results reported by Anis and colleagues probably underestimate the true effects, because only patients who could afford to pay the annual maximum amount were included in the study.


'"/>

Contact: Dr. Aslam Anis
604-818-1765
Canadian Medical Association Journal
21-Nov-2005


Page: 1

Related medicine news :

1. How to market diet pills: Prescription and over-the-counter pills may increase unhealthy behavior
2. Prescriptions for health advice online
3. Prescription opioids the predominant choice among illicit opioid users
4. Prescription pain killers involved in more drug overdose deaths than cocaine or heroin in the US
5. Prescription flip-side: Guidelines for medication withdrawal
6. Prescriptions for headache almost twice as likely in middle aged women as men of same age
7. Prescription painkillers effective in patients with dormant inflammatory bowel disease
8. Prescription drugs can interact with a variety of foods
9. Prescription of heroin is less costly for society
10. Trials underway for essential new TB vaccine
11. Governments reliance on free market economics makes essential drug prices too high for the poor

Post Your Comments:
*Name:
*Comment:
*Email:
TAG: Prescription drug coverage essential service fringe benefit

(Date:4/24/2014)... Foundation has awarded LSU Health Sciences Center New ... grant in the amount of $295,635. The funding ... social and educational backgrounds, underrepresented in the sciences, ... project will provide students with training for 10 ... will be led by Principal Investigator Dr. Fern ...
(Date:4/23/2014)... TORONTO, April 24, 2014 Pregnant immigrants from ... require increased monitoring during pregnancy, according to new ... published today in the British Journal of ... preeclampsia and eclampsia rates among immigrants and native-born ... Canada (Ontario), Denmark, Sweden, Spain (Catalonia and Valencia) ...
(Date:4/23/2014)... American Society for Radiation Oncology (ASTRO) has issued ... Therapy for Endometrial Cancer: An ASTRO Evidence-Based Guideline," ... in the treatment of endometrial cancer. The guideline,s ... issue of Practical Radiation Oncology (PRO), ... full-length guideline is available as an open-access article ...
(Date:4/23/2014)... of the gastro-intestinal tract has long been considered to ... the Sahlgrenska Academy have used refined microscopic techniques that ... surface of the gastro-intestinal tract is only as large ... , The digestive tract, which passes from the mouth ... a length of about 5 meters in a normal ...
(Date:4/23/2014)... the potential health benefits of probiotics, antioxidants and other ... And the chemical industry is getting in on the ... deter growth, so the industry is responding with clinical ... cover story in Chemical & Engineering News ... Society. , Melody M. Bomgardner, a senior editor at ...
Breaking Medicine News(10 mins):Health News:Pregnancy complications may be more common in immigrants from certain regions 2Health News:ASTRO issues guideline on the role of postoperative radiation therapy for endometrial cancer 2Health News:ASTRO issues guideline on the role of postoperative radiation therapy for endometrial cancer 3Health News:The surface area of the digestive tract 'only' as large as a studio apartment 2
(Date:1/15/2014)... Most osteoporosis patients want a choice in the medication ... by Mission Pharmacal Company. The survey, conducted by ... community, revealed that 74 percent of osteoporosis patients surveyed ... other than a pill or a tablet. ...
(Date:1/15/2014)... , Jan. 15, 2014  Novation, the leading health ... several new IT value-added reseller (VAR) national contracts that ... goods and services at lower costs. These include manufacturer ... such as initiative assistance and ongoing IT consulting support. ...
(Date:1/15/2014)...  Humberto C. Antunes,  Galderma  worldwide CEO, will receive a ... of Drugs in Dermatology (JDD) at the upcoming ... is January 17-20, 2014, at the Omni Orlando Resort at ChampionsGate ... The ODAC is a distinguished event that delivers a ...
Breaking Medicine Technology:Mission Pharmacal Conducts Online Survey of Osteoporosis Patients 2Mission Pharmacal Conducts Online Survey of Osteoporosis Patients 3New Novation Information Technology VAR Contracts Offer Significant Savings to Hospitals 2Galderma's global leader honored with a "Lifetime in Dermatology Achievement Award" by Journal of Drugs in Dermatology 2Galderma's global leader honored with a "Lifetime in Dermatology Achievement Award" by Journal of Drugs in Dermatology 3Galderma's global leader honored with a "Lifetime in Dermatology Achievement Award" by Journal of Drugs in Dermatology 4
Cached News: