The association between multimorbidity and out-of-pocket expenditure for prescription medicines among adults in Denmark: A population-based register study
For adults in Denmark, multimorbidity was associated with significantly higher out-of-pocket prescription medicine expenditure, even after controlling for demographic and socioeconomic covariates. This is similar to patterns in other countries and likely affects those with lowest income the most, given the known socioeconomic patterning of multimorbidity, and raises concerns about cost related non-adherence. Potential protective mechanisms could include subsidies for certain vulnerable patient groups (e.g. those with severe mental illness) and low-income groups.
Authors
- Claus Høstrup Vestergaard (ORCID: https://orcid.org/0000-0003-2916-1548)
- Amanda Paust (ORCID: https://orcid.org/0000-0002-4983-2268)
- James Larkin (ORCID: https://orcid.org/0000-0003-4339-5623)
- Anders Prior (ORCID: https://orcid.org/0000-0003-4053-3701)
- Line Due Christensen (ORCID: https://orcid.org/0000-0002-4801-4335)
- Thomas Schmidt Voss (ORCID: https://orcid.org/0000-0003-3822-2111)
- Susan M. Smith (ORCID: https://orcid.org/0000-0001-6027-2727)
Institutions
- Steno Diabetes Centers (DK)
- Aarhus University (DK)
- Trinity College Dublin (IE)
- Aarhus University Hospital (DK)
- Dublin City University (IE)
Publication Details
- Journal
- Research in Social and Administrative Pharmacy
- Published
- 2025-03-17
- DOI
- https://doi.org/10.1016/j.sapharm.2025.03.009
- Citations
- 1
- Primary Topic
- Chronic Disease Management Strategies
- Type
- article
- Field-Weighted Citation Impact
- 1.35