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Prescription drug coverage and chronic pain

机译:处方药覆盖和慢性疼痛

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摘要

Chronic pain is one of the most common chronic conditions affecting more than 50 % of older adults. While pain management can be quite complex, prescription drugs are the most commonly used treatment modality. In this study, I examine whether increased access to prescription drugs due to the introduction of the Medicare Part D program in 2006 led to better management of pain among the elderly. While prior work has identified increases in the utilization of analgesics due to the introduction of Medicare Part D, the extent to which this increase in drug use actually improved the well-being of older adults is not known. Using data from the Health and Retirement Study, I employ a difference-in-differences strategy that compares pre versus post 2006 changes in pain related outcomes between Medicare eligible persons and a younger ineligible group. I find that Medicare Part D significantly reduced pain related activity limitations among a sample of older adults who report being troubled by pain.
机译:慢性疼痛是影响50%以上老年人的最常见慢性疾病之一。尽管疼痛管理可能非常复杂,但处方药是最常用的治疗方式。在这项研究中,我研究了2006年引入的Medicare Part D计划是否增加了处方药的使用,从而改善了老年人的疼痛管理。尽管先前的工作已经确定由于引入了Medicare D部分而使止痛药的使用有所增加,但这种药物使用的增加实际上改善了老年人的健康状况的程度尚不清楚。根据《健康与退休研究》的数据,我采用了差异差异策略,比较了符合Medicare资格的人和较年轻的不合格人群在2006年之前和之后疼痛相关结局的变化。我发现,Medicare D部分显着减少了报告遭受疼痛困扰的老年人样本中与疼痛有关的活动限制。

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