Date of Conferral

2022

Degree

Ph.D.

School

Health Services

Advisor

David Segal

Abstract

Adults with type 2 diabetes (T2D) in the United States experience a significant financial burden in managing their condition due to prescription medication, higher out-of-pocket (OOP) costs, number of prescribed medications, and health insurance status to stay compliant with their medications. This study examined the association between the alternative medication cost-saving strategies, including obtaining free samples from doctors or patient assistance programs, splitting pills or changing dosage frequency, purchasing from other countries, purchasing over the internet, and the three independent variables among adults diagnosed with T2D. Reasoned action approach theory helped guide how external factors may influence an alternative medication cost savings strategy. A quantitative, cross-sectional survey design was implemented with the Qualtrics platform and questions from the Consumer Assessment of Healthcare Providers and Systems survey instrument. Self-reported responses from adults diagnosed with T2D were administered and captured online from participants registered with the Amazon Mechanical Turk Crowdsourcing Internet Marketplace (mturk.com). A multiple binomial logistic regression analysis predicted that health insurance is associated with increased purchasing of medications over the internet. An increase in the number of prescribed medications and OOP expenses is associated with a reduction in purchasing medications from other countries and an increase in splitting pills or changing dosage frequency. Identifying predictors of alternative prescription cost-saving strategies by adults with T2D may help promote personalized medication assistance for those patients experiencing financial hardships to ensure they remain compliant with their medications.

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