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Abolition of prescription charges in Wales: the impact on medicines use in those who used to pay

Sam Groves, David Cohen, M. Fasihul Alam, Frank D.J. Dunstan, Philip A. Routledge, Dyfrig A. Hughes, Susan Myles, Fasihul Alam, Samantha Groves

International Journal of Pharmacy Practice, Volume: 18, Issue: 6, Pages: 332 - 340

Swansea University Authors: Fasihul Alam, Samantha Groves

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DOI (Published version): 10.1111/j.2042-7174.2010.00063.x

Abstract

OBJECTIVES: patient co-payments for prescription medicines in Wales were abolished in April 2007 and there has been much speculation on the possible effects. We analysed patient-reported use of medicines before and after abolition of the prescription charge, noting changes in the number of items pre...

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Published in: International Journal of Pharmacy Practice
Published: 2010
URI: https://cronfa.swan.ac.uk/Record/cronfa20832
first_indexed 2015-04-22T02:08:23Z
last_indexed 2018-02-09T04:57:47Z
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spelling 2015-04-21T17:29:53.7085593 v2 20832 2015-04-21 Abolition of prescription charges in Wales: the impact on medicines use in those who used to pay 642c9290a11352cb60741fc2b1004f6d Fasihul Alam Fasihul Alam true false eb642e3823a000ee7550db9c062c2cdb Samantha Groves Samantha Groves true false 2015-04-21 OBJECTIVES: patient co-payments for prescription medicines in Wales were abolished in April 2007 and there has been much speculation on the possible effects. We analysed patient-reported use of medicines before and after abolition of the prescription charge, noting changes in the number of items prescribed, number of non-prescription medicines purchased and participants not collecting all prescribed items (primary non-adherence).METHODS: a sample of community pharmacists across Wales (n = 249) issued questionnaires to customers at the point of dispensing who were not exempt from the prescription charge. A second questionnaire was delivered by post to those who returned the first questionnaire (n = 1027) and expressed a willingness to participate further. Paired t-tests were applied to responses from those completing both questionnaires (n = 593). Further analyses were carried out according to gender, age and reported levels of household income.KEY FINDINGS: there was a statistically significant (P = 0.03) rise in the number of items prescribed, and a statistically significant fall (P = 0.02) in the number of non-prescription medicines purchased. Primary non-adherence was also found to fall between pre- and post-abolition periods. Those most affected in terms of increase in number of prescribed items prescribed were the older age group (45-59 years), and those with household income of between £15600 and £36400. The most affected in the fall in number of medicines purchased were males, those in the lower age group (25-34 years) and those with a higher household income (>£36400).CONCLUSIONS:  although the rise in number of items prescribed and fall in number of medicines purchased was generally anticipated, there appeared to be little or no effect for those on the lowest incomes. Journal Article International Journal of Pharmacy Practice 18 6 332 340 28 2 2010 2010-02-28 10.1111/j.2042-7174.2010.00063.x COLLEGE NANME COLLEGE CODE Swansea University 2015-04-21T17:29:53.7085593 2015-04-21T17:29:53.7085593 Faculty of Medicine, Health and Life Sciences School of Health and Social Care Sam Groves 1 David Cohen 2 M. Fasihul Alam 3 Frank D.J. Dunstan 4 Philip A. Routledge 5 Dyfrig A. Hughes 6 Susan Myles 7 Fasihul Alam 8 Samantha Groves 9
title Abolition of prescription charges in Wales: the impact on medicines use in those who used to pay
spellingShingle Abolition of prescription charges in Wales: the impact on medicines use in those who used to pay
Fasihul Alam
Samantha Groves
title_short Abolition of prescription charges in Wales: the impact on medicines use in those who used to pay
title_full Abolition of prescription charges in Wales: the impact on medicines use in those who used to pay
title_fullStr Abolition of prescription charges in Wales: the impact on medicines use in those who used to pay
title_full_unstemmed Abolition of prescription charges in Wales: the impact on medicines use in those who used to pay
title_sort Abolition of prescription charges in Wales: the impact on medicines use in those who used to pay
author_id_str_mv 642c9290a11352cb60741fc2b1004f6d
eb642e3823a000ee7550db9c062c2cdb
author_id_fullname_str_mv 642c9290a11352cb60741fc2b1004f6d_***_Fasihul Alam
eb642e3823a000ee7550db9c062c2cdb_***_Samantha Groves
author Fasihul Alam
Samantha Groves
author2 Sam Groves
David Cohen
M. Fasihul Alam
Frank D.J. Dunstan
Philip A. Routledge
Dyfrig A. Hughes
Susan Myles
Fasihul Alam
Samantha Groves
format Journal article
container_title International Journal of Pharmacy Practice
container_volume 18
container_issue 6
container_start_page 332
publishDate 2010
institution Swansea University
doi_str_mv 10.1111/j.2042-7174.2010.00063.x
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str School of Health and Social Care{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}School of Health and Social Care
document_store_str 0
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description OBJECTIVES: patient co-payments for prescription medicines in Wales were abolished in April 2007 and there has been much speculation on the possible effects. We analysed patient-reported use of medicines before and after abolition of the prescription charge, noting changes in the number of items prescribed, number of non-prescription medicines purchased and participants not collecting all prescribed items (primary non-adherence).METHODS: a sample of community pharmacists across Wales (n = 249) issued questionnaires to customers at the point of dispensing who were not exempt from the prescription charge. A second questionnaire was delivered by post to those who returned the first questionnaire (n = 1027) and expressed a willingness to participate further. Paired t-tests were applied to responses from those completing both questionnaires (n = 593). Further analyses were carried out according to gender, age and reported levels of household income.KEY FINDINGS: there was a statistically significant (P = 0.03) rise in the number of items prescribed, and a statistically significant fall (P = 0.02) in the number of non-prescription medicines purchased. Primary non-adherence was also found to fall between pre- and post-abolition periods. Those most affected in terms of increase in number of prescribed items prescribed were the older age group (45-59 years), and those with household income of between £15600 and £36400. The most affected in the fall in number of medicines purchased were males, those in the lower age group (25-34 years) and those with a higher household income (>£36400).CONCLUSIONS:  although the rise in number of items prescribed and fall in number of medicines purchased was generally anticipated, there appeared to be little or no effect for those on the lowest incomes.
published_date 2010-02-28T04:55:19Z
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