The authors also pointed out that higher out-of-pocket costs for patients are another consequence of rising health care costs. As occurred in the reported case, medication cost can limit treatment adherence.
In addition, the authors raised concern that medication non-adherence may be an unintended result of movements advocating for patients with chronic medical conditions to assume more independence in managing their disease. Referring again to the reported case, the authors noted that this type of treatment paradigm is inherently flawed for some individuals and can doom them to failure.
Citing another published paper on factors underlying medication nonadherence, the authors of the case stated, “In patients with limited access to healthcare, poor healthcare literacy, and other socioeconomic barriers; the social support system, the cost-effectiveness of planned interventions, and the burden on the patient must all be considered when designing an efficacious treatment plan.”
Patel T, Karle E, Krvavac A. Socioeconomic barriers in the treatment of psoriasis. QJM. 2019;