Credit: Original article published here.According to Dua Abedeen, MPH, and colleagues at SUNY Downstate Health Sciences University, Brooklyn, New York, undue financial stress may force patients to choose between medication and other living expenses, resulting in inferior rates of medication adherence. Unless directly asked, patients may not disclose issues with finances to their provider. Using a Likert scale survey, the researchers interviewed a random convenience sample of 24 patients receiving dialysis and 16 kidney transplant recipients in an inner-city area. Results of the interviews were reported during a poster session at the National Kidney Foundation Spring Clinical Meetings 2023 in a poster titled Association of Financial Stressors With Medication Nonadherence in Inner-City Patients With ESKD. Mean age of the interviewed patients was 59 years, 77% (n=30) identified as Black, 70% (n=26) were men, 57% (n=20) had less than a college education, and 65% (n=13) made less than $40,000 per year. Mean dialysis vintage was 5.2 years, and mean time since transplant was 4.0 years. All of the patients had insurance. More than half of the cohort (52%, n=19) said that finances affected their ability to control their medical condition, 42% (n=15) said they had difficulty meeting monthly bills, and 40%
Patient Financial Stress and Medication Nonadherence