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Lower Copayments and Use of Mail-Order Pharmacy may Reduce Disparities in Adherence to Blood-Pressure Medication
Date:12/10/2012

in copayment and enrollment in mail-order pharmacy; both mail-order pharmacy enrollment and lower copayments were significantly associated with a lower likelihood of being nonadherent.

Co-authors of the study were Connie Uratsu, RN, Wendy Dyer and Julie A. Schmittdiel, PhD, of the Kaiser Permanente Division of Research (Oakland, Calif.); David Magid, MD, MPH, Arne Beck, PhD, and Michael Ho, MD, PhD, Institute for Health Research, Kaiser Permanente, Denver; Patrick O'Connor, MD, MPH, HealthPartners Research Foundation, Minneapolis; and Melissa Butler, PharmD, MPH, PhD, Kaiser Permanente Center for Health Research Southeast, Atlanta.

The National Heart, Lung and Blood Institute and the National Institute for Mental Health funded the study, as a supplement to the Health Maintenance Organization Research Network Cardiovascular Disease Network. The National Institute for Diabetes and Digestive and Kidney Diseases provided additional support to co-authors Adams, Dr. O'Connor and Schmittdiel.

Archives of Internal Medicine is published by the American Medical Association.

About the Kaiser Permanente Division of Research
The Kaiser Permanente Division of Research conducts, publishes and disseminates epidemiologic and health services research to improve the health and medical care of Kaiser Permanente members and the society at large. It seeks to understand the determinants of illness and well-being, and to improve the quality and cost-effectiveness of health care. Currently, DOR's 600-plus staff is working on more than 250 epidemiological and health services research projects. For more information, visit www.dor.kaiser.org.

About Kaiser Permanente
Kaiser Permanente is committed to helping shape the future of health care. We are recognized as one of America's leading health care providers and nonprofit health plans. Founded in 1945, our mission is to provide high-quality, affordable he
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