{"id":"https://openalex.org/W2899932437","doi":"https://doi.org/10.1161/circoutcomes.118.004632","title":"Impact of High Deductible Health Plans on Cardiovascular Medication Adherence and Health Disparities","display_name":"Impact of High Deductible Health Plans on Cardiovascular Medication Adherence and Health Disparities","publication_year":2018,"publication_date":"2018-11-01","ids":{"openalex":"https://openalex.org/W2899932437","doi":"https://doi.org/10.1161/circoutcomes.118.004632","mag":"2899932437","pmid":"https://pubmed.ncbi.nlm.nih.gov/30571335"},"language":"en","primary_location":{"id":"doi:10.1161/circoutcomes.118.004632","doi":"https://doi.org/10.1161/circoutcomes.118.004632","is_oa":true,"landing_page_url":"https://doi.org/10.1161/circoutcomes.118.004632","pdf_url":"https://www.ahajournals.org/doi/pdf/10.1161/CIRCOUTCOMES.118.004632?download=true","source":{"id":"https://openalex.org/S52278559","display_name":"Circulation Cardiovascular Quality and Outcomes","issn_l":"1941-7705","issn":["1941-7705","1941-7713"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","jufo-1","ki-jl-1","norway-1","poland-100","russia-white-list-1"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Circulation: Cardiovascular Quality and Outcomes","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"bronze","oa_url":"https://www.ahajournals.org/doi/pdf/10.1161/CIRCOUTCOMES.118.004632?download=true","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5057100644","display_name":"Jennifer Lewey","orcid":"https://orcid.org/0000-0003-3483-5527","observed_orcids":["https://orcid.org/0000-0003-3483-5527"]},"institutions":[{"id":"https://openalex.org/I1283280774","display_name":"Brigham and Women's Hospital","ror":"https://ror.org/04b6nzv94","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I121934306","https://openalex.org/I1283280774","https://openalex.org/I48633490"]},{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]},{"id":"https://openalex.org/I2799810409","display_name":"Hospital of the University of Pennsylvania","ror":"https://ror.org/02917wp91","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2799810409","https://openalex.org/I4210143392"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Jennifer Lewey","raw_affiliation_strings":["Center for Healthcare Delivery Sciences, Brigham and Women\u2019s Hospital, Harvard Medical School, Boston, MA (J.L., J.C.L., N.K.C.)","Division of Cardiovascular Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA (J.L.)","Division of Pharmacoepidemiology and Pharmacoeconomics, Brigham and Women\u2019s Hospital, Harvard Medical School, Boston, MA (J.L., J.J.G., J.F., J.C.L., G.B., N.K.C.),","Jennifer Lewey Center for Healthcare Delivery Sciences, Brigham and Women's Hospital, Harvard Medical School, Boston, MA (J.L., J.C.L., N.K.C.) Division of Pharmacoepidemiology and Pharmacoeconomics, Brigham and Women's Hospital, Harvard Medical School, Boston, MA (J.L., J.J.G., J.F., J.C.L., G.B., N.K.C.), Division of Cardiovascular Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA (J.L.)"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Center for Healthcare Delivery Sciences, Brigham and Women\u2019s Hospital, Harvard Medical School, Boston, MA (J.L., J.C.L., N.K.C.)","institution_ids":["https://openalex.org/I1283280774","https://openalex.org/I136199984"]},{"raw_affiliation_string":"Division of Cardiovascular Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA (J.L.)","institution_ids":["https://openalex.org/I2799810409"]},{"raw_affiliation_string":"Division of Pharmacoepidemiology and Pharmacoeconomics, Brigham and Women\u2019s Hospital, Harvard Medical School, Boston, MA (J.L., J.J.G., J.F., J.C.L., G.B., N.K.C.),","institution_ids":["https://openalex.org/I1283280774","https://openalex.org/I136199984"]},{"raw_affiliation_string":"Jennifer Lewey Center for Healthcare Delivery Sciences, Brigham and Women's Hospital, Harvard Medical School, Boston, MA (J.L., J.C.L., N.K.C.) Division of Pharmacoepidemiology and Pharmacoeconomics, Brigham and Women's Hospital, Harvard Medical School, Boston, MA (J.L., J.J.G., J.F., J.C.L., G.B., N.K.C.), Division of Cardiovascular Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA (J.L.)","institution_ids":["https://openalex.org/I1283280774","https://openalex.org/I136199984","https://openalex.org/I2799810409"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5059157113","display_name":"Joshua J. Gagne","orcid":"https://orcid.org/0000-0001-5428-9733","observed_orcids":["https://orcid.org/0000-0001-5428-9733"]},"institutions":[{"id":"https://openalex.org/I1283280774","display_name":"Brigham and Women's Hospital","ror":"https://ror.org/04b6nzv94","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I121934306","https://openalex.org/I1283280774","https://openalex.org/I48633490"]},{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Joshua J. Gagne","raw_affiliation_strings":["Division of Pharmacoepidemiology and Pharmacoeconomics, Brigham and Women\u2019s Hospital, Harvard Medical School, Boston, MA (J.L., J.J.G., J.F., J.C.L., G.B., N.K.C.),","Joshua J. Gagne Division of Pharmacoepidemiology and Pharmacoeconomics, Brigham and Women's Hospital, Harvard Medical School, Boston, MA (J.L., J.J.G., J.F., J.C.L., G.B., N.K.C.),"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Pharmacoepidemiology and Pharmacoeconomics, Brigham and Women\u2019s Hospital, Harvard Medical School, Boston, MA (J.L., J.J.G., J.F., J.C.L., G.B., N.K.C.),","institution_ids":["https://openalex.org/I1283280774","https://openalex.org/I136199984"]},{"raw_affiliation_string":"Joshua J. Gagne Division of Pharmacoepidemiology and Pharmacoeconomics, Brigham and Women's Hospital, Harvard Medical School, Boston, MA (J.L., J.J.G., J.F., J.C.L., G.B., N.K.C.),","institution_ids":["https://openalex.org/I1283280774","https://openalex.org/I136199984"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5074235726","display_name":"Jessica Myers Franklin","orcid":"https://orcid.org/0000-0002-8941-4116","observed_orcids":["https://orcid.org/0000-0002-8941-4116"]},"institutions":[{"id":"https://openalex.org/I1283280774","display_name":"Brigham and Women's Hospital","ror":"https://ror.org/04b6nzv94","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I121934306","https://openalex.org/I1283280774","https://openalex.org/I48633490"]},{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Jessica Franklin","raw_affiliation_strings":["Division of Pharmacoepidemiology and Pharmacoeconomics, Brigham and Women\u2019s Hospital, Harvard Medical School, Boston, MA (J.L., J.J.G., J.F., J.C.L., G.B., N.K.C.),","Jessica Franklin Division of Pharmacoepidemiology and Pharmacoeconomics, Brigham and Women's Hospital, Harvard Medical School, Boston, MA (J.L., J.J.G., J.F., J.C.L., G.B., N.K.C.),"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Pharmacoepidemiology and Pharmacoeconomics, Brigham and Women\u2019s Hospital, Harvard Medical School, Boston, MA (J.L., J.J.G., J.F., J.C.L., G.B., N.K.C.),","institution_ids":["https://openalex.org/I1283280774","https://openalex.org/I136199984"]},{"raw_affiliation_string":"Jessica Franklin Division of Pharmacoepidemiology and Pharmacoeconomics, Brigham and Women's Hospital, Harvard Medical School, Boston, MA (J.L., J.J.G., J.F., J.C.L., G.B., N.K.C.),","institution_ids":["https://openalex.org/I1283280774","https://openalex.org/I136199984"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5061680472","display_name":"Julie C. Lauffenburger","orcid":"https://orcid.org/0000-0002-4940-4140","observed_orcids":["https://orcid.org/0000-0002-4940-4140"]},"institutions":[{"id":"https://openalex.org/I1283280774","display_name":"Brigham and Women's Hospital","ror":"https://ror.org/04b6nzv94","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I121934306","https://openalex.org/I1283280774","https://openalex.org/I48633490"]},{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Julie C. Lauffenburger","raw_affiliation_strings":["Center for Healthcare Delivery Sciences, Brigham and Women\u2019s Hospital, Harvard Medical School, Boston, MA (J.L., J.C.L., N.K.C.)","Division of Pharmacoepidemiology and Pharmacoeconomics, Brigham and Women\u2019s Hospital, Harvard Medical School, Boston, MA (J.L., J.J.G., J.F., J.C.L., G.B., N.K.C.),","Julie C. Lauffenburger Center for Healthcare Delivery Sciences, Brigham and Women's Hospital, Harvard Medical School, Boston, MA (J.L., J.C.L., N.K.C.) Division of Pharmacoepidemiology and Pharmacoeconomics, Brigham and Women's Hospital, Harvard Medical School, Boston, MA (J.L., J.J.G., J.F., J.C.L., G.B., N.K.C.),"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Center for Healthcare Delivery Sciences, Brigham and Women\u2019s Hospital, Harvard Medical School, Boston, MA (J.L., J.C.L., N.K.C.)","institution_ids":["https://openalex.org/I1283280774","https://openalex.org/I136199984"]},{"raw_affiliation_string":"Division of Pharmacoepidemiology and Pharmacoeconomics, Brigham and Women\u2019s Hospital, Harvard Medical School, Boston, MA (J.L., J.J.G., J.F., J.C.L., G.B., N.K.C.),","institution_ids":["https://openalex.org/I1283280774","https://openalex.org/I136199984"]},{"raw_affiliation_string":"Julie C. Lauffenburger Center for Healthcare Delivery Sciences, Brigham and Women's Hospital, Harvard Medical School, Boston, MA (J.L., J.C.L., N.K.C.) Division of Pharmacoepidemiology and Pharmacoeconomics, Brigham and Women's Hospital, Harvard Medical School, Boston, MA (J.L., J.J.G., J.F., J.C.L., G.B., N.K.C.),","institution_ids":["https://openalex.org/I1283280774","https://openalex.org/I136199984"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5105786687","display_name":"Gregory E. Brill","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1283280774","display_name":"Brigham and Women's Hospital","ror":"https://ror.org/04b6nzv94","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I121934306","https://openalex.org/I1283280774","https://openalex.org/I48633490"]},{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Gregory Brill","raw_affiliation_strings":["Division of Pharmacoepidemiology and Pharmacoeconomics, Brigham and Women\u2019s Hospital, Harvard Medical School, Boston, MA (J.L., J.J.G., J.F., J.C.L., G.B., N.K.C.),","Gregory Brill Division of Pharmacoepidemiology and Pharmacoeconomics, Brigham and Women's Hospital, Harvard Medical School, Boston, MA (J.L., J.J.G., J.F., J.C.L., G.B., N.K.C.),"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Pharmacoepidemiology and Pharmacoeconomics, Brigham and Women\u2019s Hospital, Harvard Medical School, Boston, MA (J.L., J.J.G., J.F., J.C.L., G.B., N.K.C.),","institution_ids":["https://openalex.org/I1283280774","https://openalex.org/I136199984"]},{"raw_affiliation_string":"Gregory Brill Division of Pharmacoepidemiology and Pharmacoeconomics, Brigham and Women's Hospital, Harvard Medical School, Boston, MA (J.L., J.J.G., J.F., J.C.L., G.B., N.K.C.),","institution_ids":["https://openalex.org/I1283280774","https://openalex.org/I136199984"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5091282674","display_name":"Niteesh K. Choudhry","orcid":"https://orcid.org/0000-0001-7719-2248","observed_orcids":["https://orcid.org/0000-0001-7719-2248"]},"institutions":[{"id":"https://openalex.org/I1283280774","display_name":"Brigham and Women's Hospital","ror":"https://ror.org/04b6nzv94","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I121934306","https://openalex.org/I1283280774","https://openalex.org/I48633490"]},{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Niteesh K. Choudhry","raw_affiliation_strings":["Center for Healthcare Delivery Sciences, Brigham and Women\u2019s Hospital, Harvard Medical School, Boston, MA (J.L., J.C.L., N.K.C.)","Division of Pharmacoepidemiology and Pharmacoeconomics, Brigham and Women\u2019s Hospital, Harvard Medical School, Boston, MA (J.L., J.J.G., J.F., J.C.L., G.B., N.K.C.),"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Center for Healthcare Delivery Sciences, Brigham and Women\u2019s Hospital, Harvard Medical School, Boston, MA (J.L., J.C.L., N.K.C.)","institution_ids":["https://openalex.org/I1283280774","https://openalex.org/I136199984"]},{"raw_affiliation_string":"Division of Pharmacoepidemiology and Pharmacoeconomics, Brigham and Women\u2019s Hospital, Harvard Medical School, Boston, MA (J.L., J.J.G., J.F., J.C.L., G.B., N.K.C.),","institution_ids":["https://openalex.org/I1283280774","https://openalex.org/I136199984"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":4.8494,"has_fulltext":true,"cited_by_count":37,"citation_normalized_percentile":{"value":0.95044599,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":89,"max":99},"biblio":{"volume":"11","issue":"11","first_page":"e004632","last_page":"e004632"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11620","display_name":"Medication Adherence and Compliance","score":0.5957000255584717,"subfield":{"id":"https://openalex.org/subfields/2714","display_name":"Family Practice"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11620","display_name":"Medication Adherence and Compliance","score":0.5957000255584717,"subfield":{"id":"https://openalex.org/subfields/2714","display_name":"Family Practice"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.37790000438690186,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T12708","display_name":"Economic and Financial Impacts of Cancer","score":0.003599999938160181,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/high-deductible-health-plans","display_name":"high-deductible health plans","score":1.0},{"id":"https://openalex.org/keywords/treatment-adherence","display_name":"medication adherence","score":0.9890000224113464},{"id":"https://openalex.org/keywords/cardiovascular-risk-factors","display_name":"cardiovascular risk factors","score":0.8050000071525574},{"id":"https://openalex.org/keywords/hypertension","display_name":"hypertension","score":0.6200000047683716},{"id":"https://openalex.org/keywords/hypercholesterolemia","display_name":"hypercholesterolemia","score":0.9399999976158142},{"id":"https://openalex.org/keywords/diabetes-mellitus","display_name":"diabetes mellitus","score":0.9919999837875366},{"id":"https://openalex.org/keywords/health-disparities","display_name":"health disparities","score":0.777999997138977},{"id":"https://openalex.org/keywords/racial-and-ethnic-minorities","display_name":"racial and ethnic minorities","score":0.703000009059906},{"id":"https://openalex.org/keywords/socioeconomic-status","display_name":"socioeconomic status","score":0.9990000128746033},{"id":"https://openalex.org/keywords/patient-cost-sharing","display_name":"patient cost sharing","score":0.8169999718666077},{"id":"https://openalex.org/keywords/prescription-drug-coverage","display_name":"prescription drug coverage","score":0.4350000023841858},{"id":"https://openalex.org/keywords/commercial-health-insurance","display_name":"commercial health insurance","score":0.6050000190734863}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9562857151031494},{"id":"https://openalex.org/C2776829726","wikidata":"https://www.wikidata.org/wiki/Q1759284","display_name":"Deductible","level":2,"score":0.8009392023086548},{"id":"https://openalex.org/C3018553135","wikidata":"https://www.wikidata.org/wiki/Q67004728","display_name":"Medication adherence","level":2,"score":0.647230327129364},{"id":"https://openalex.org/C2776291444","wikidata":"https://www.wikidata.org/wiki/Q6806635","display_name":"Medicare Part D","level":4,"score":0.509372353553772},{"id":"https://openalex.org/C2250968","wikidata":"https://www.wikidata.org/wiki/Q1512929","display_name":"Health equity","level":3,"score":0.44385984539985657},{"id":"https://openalex.org/C2992755240","wikidata":"https://www.wikidata.org/wiki/Q1519812","display_name":"Health plan","level":3,"score":0.4402967691421509},{"id":"https://openalex.org/C3018284874","wikidata":"https://www.wikidata.org/wiki/Q389735","display_name":"Cardiovascular health","level":3,"score":0.42741259932518005},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.4175516366958618},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.41224798560142517},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.3399035930633545},{"id":"https://openalex.org/C2426938","wikidata":"https://www.wikidata.org/wiki/Q3355478","display_name":"Medical prescription","level":2,"score":0.2858724594116211},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.2562254071235657},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.21925196051597595},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.2067202627658844},{"id":"https://openalex.org/C2778858636","wikidata":"https://www.wikidata.org/wiki/Q1643563","display_name":"Prescription drug","level":3,"score":0.18324720859527588},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.16267627477645874},{"id":"https://openalex.org/C162118730","wikidata":"https://www.wikidata.org/wiki/Q1128453","display_name":"Actuarial science","level":1,"score":0.09941476583480835},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.0},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002317","descriptor_name":"Cardiovascular Agents","qualifier_ui":"Q000627","qualifier_name":"therapeutic use","is_major_topic":true},{"descriptor_ui":"D003669","descriptor_name":"Deductibles and Coinsurance","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003920","descriptor_name":"Diabetes Mellitus","qualifier_ui":"Q000188","qualifier_name":"drug therapy","is_major_topic":false},{"descriptor_ui":"D003920","descriptor_name":"Diabetes Mellitus","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":true},{"descriptor_ui":"D005006","descriptor_name":"Ethnicity","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006973","descriptor_name":"Hypertension","qualifier_ui":"Q000188","qualifier_name":"drug therapy","is_major_topic":false},{"descriptor_ui":"D006973","descriptor_name":"Hypertension","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":true},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010342","descriptor_name":"Patient Acceptance of Health Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012189","descriptor_name":"Retrospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012306","descriptor_name":"Risk","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012923","descriptor_name":"Social Class","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D015331","descriptor_name":"Cohort Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D055118","descriptor_name":"Medication Adherence","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D055317","descriptor_name":"Evidence-Based Practice","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.1161/circoutcomes.118.004632","doi":"https://doi.org/10.1161/circoutcomes.118.004632","is_oa":true,"landing_page_url":"https://doi.org/10.1161/circoutcomes.118.004632","pdf_url":"https://www.ahajournals.org/doi/pdf/10.1161/CIRCOUTCOMES.118.004632?download=true","source":{"id":"https://openalex.org/S52278559","display_name":"Circulation Cardiovascular Quality and Outcomes","issn_l":"1941-7705","issn":["1941-7705","1941-7713"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","jufo-1","ki-jl-1","norway-1","poland-100","russia-white-list-1"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Circulation: Cardiovascular Quality and Outcomes","raw_type":"journal-article"},{"id":"pmid:30571335","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/30571335","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Circulation. Cardiovascular quality and outcomes","raw_type":"Journal Article"}],"best_oa_location":{"id":"doi:10.1161/circoutcomes.118.004632","doi":"https://doi.org/10.1161/circoutcomes.118.004632","is_oa":true,"landing_page_url":"https://doi.org/10.1161/circoutcomes.118.004632","pdf_url":"https://www.ahajournals.org/doi/pdf/10.1161/CIRCOUTCOMES.118.004632?download=true","source":{"id":"https://openalex.org/S52278559","display_name":"Circulation Cardiovascular Quality and Outcomes","issn_l":"1941-7705","issn":["1941-7705","1941-7713"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","jufo-1","ki-jl-1","norway-1","poland-100","russia-white-list-1"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Circulation: Cardiovascular Quality and Outcomes","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":1.0},{"display_name":"Reduced inequalities","id":"https://metadata.un.org/sdg/10","score":0.8974000215530396}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[{"id":"https://openalex.org/F4320308347","display_name":"Brigham and Women's Hospital","ror":"https://ror.org/04b6nzv94"},{"id":"https://openalex.org/F4320309370","display_name":"University of Pennsylvania","ror":"https://ror.org/00b30xv10"}],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W2899932437.pdf","grobid_xml":"https://content.openalex.org/works/W2899932437.grobid-xml"},"referenced_works_count":43,"referenced_works":["https://openalex.org/W207045513","https://openalex.org/W1607531551","https://openalex.org/W1944189666","https://openalex.org/W1964797568","https://openalex.org/W1972456692","https://openalex.org/W1976712936","https://openalex.org/W1985213378","https://openalex.org/W1999041322","https://openalex.org/W1999881848","https://openalex.org/W2017831288","https://openalex.org/W2034043293","https://openalex.org/W2043498825","https://openalex.org/W2043704696","https://openalex.org/W2048502844","https://openalex.org/W2067119621","https://openalex.org/W2076911375","https://openalex.org/W2078159070","https://openalex.org/W2085828681","https://openalex.org/W2087018232","https://openalex.org/W2092431005","https://openalex.org/W2099693424","https://openalex.org/W2100554124","https://openalex.org/W2102368961","https://openalex.org/W2122833169","https://openalex.org/W2150278133","https://openalex.org/W2153205212","https://openalex.org/W2156108549","https://openalex.org/W2157452732","https://openalex.org/W2163005324","https://openalex.org/W2169219289","https://openalex.org/W2171471755","https://openalex.org/W2181179372","https://openalex.org/W2205043950","https://openalex.org/W2346037519","https://openalex.org/W2470962731","https://openalex.org/W2515617319","https://openalex.org/W2520650215","https://openalex.org/W2576869859","https://openalex.org/W2578436569","https://openalex.org/W2580792129","https://openalex.org/W2794862224","https://openalex.org/W2887366908","https://openalex.org/W4250212716"],"related_works":["https://openalex.org/W3186994924","https://openalex.org/W2011004903","https://openalex.org/W2268778509","https://openalex.org/W4388334276","https://openalex.org/W2344983633","https://openalex.org/W3166580169","https://openalex.org/W2913031074","https://openalex.org/W2053095078","https://openalex.org/W2258165929","https://openalex.org/W4224308404"],"abstract_inverted_index":{"BACKGROUND:":[0],"High":[1],"deductible":[2],"health":[3],"plans":[4],"(HDHP)":[5],"are":[6,15],"associated":[7,41,211,242],"with":[8,42,80,212,243],"high":[9,105],"levels":[10],"of":[11,26,87,179,189,218,220,257,275],"patient":[12,204],"cost-sharing":[13],"and":[14,30,55,112,114,124,145,163,192],"becoming":[16],"increasingly":[17],"used":[18],"in":[19,45,152,201,215,229,246,285],"the":[20,199,202,216],"United":[21],"Status":[22],"as":[23,175],"a":[24,43,71,118,213,244],"means":[25],"reducing":[27],"healthcare":[28],"utilization":[29],"spending.":[31],"Our":[32],"objective":[33],"is":[34,40],"to":[35,47,50,102,132,207,235,248,250],"determine":[36],"whether":[37,56,282],"HDHP":[38,123,134,209,239],"enrollment":[39,240],"change":[44],"adherence":[46,174,197,219,247,286],"evidence-based":[48],"medications":[49,101,249],"treat":[51,103,251],"cardiovascular":[52,252],"risk":[53,253],"factors":[54],"such":[57],"changes":[58,284],"vary":[59,262],"based":[60,136,157,263],"on":[61,137,158,264],"race/ethnicity":[62,159,265],"or":[63,107,266],"socioeconomic":[64,143,164,267],"status.":[65,268],"METHODS":[66],"AND":[67],"RESULTS:":[68],"We":[69,92,148],"conducted":[70],"retrospective":[72],"cohort":[73,184],"study":[74],"using":[75],"an":[76,122,133,186,208],"interrupted":[77],"time":[78],"series":[79],"concurrent":[81],"control":[82],"group":[83],"design":[84],"among":[85],"beneficiaries":[86],"Aetna-a":[88],"national":[89],"commercial":[90],"insurer.":[91],"included":[93],"14":[94,125],"866":[95,126],"patients":[96],"who":[97,115,128],"filled":[98],"prescriptions":[99],"for":[100,291],"hypertension,":[104],"cholesterol,":[106],"diabetes":[108],"mellitus":[109],"between":[110],"2009":[111],"2014":[113],"switched":[116],"from":[117],"traditional":[119],"plan":[120],"into":[121],"controls":[127],"did":[129,260],"not":[130,261],"switch":[131],"matched":[135],"calendar":[138],"time,":[139],"medication":[140,173,276],"class,":[141],"race/ethnicity,":[142],"status,":[144],"propensity":[146],"score.":[147],"were":[149,194],"specifically":[150],"interested":[151],"evaluating":[153],"4":[154,226],"prespecified":[155],"subgroups":[156,227],"(white":[160],"versus":[161,167],"nonwhite)":[162],"status":[165],"(higher":[166],"lower).":[168],"The":[169,182,255],"main":[170],"outcome":[171],"was":[172,198,210,241],"measured":[176],"by":[177],"proportion":[178],"days":[180],"covered.":[181],"overall":[183],"had":[185],"average":[187],"age":[188],"53":[190],"years,":[191],"44%":[193],"women.":[195],"Baseline":[196],"lowest":[200],"nonwhite":[203],"group.":[205],"Switching":[206],"decrease":[214],"level":[217],"5":[221],"percentage":[222],"points":[223],"across":[224],"all":[225],"(change":[228],"level,":[230],"-5.0%;":[231],"95%":[232],"CI,":[233],"-5.9%":[234],"-4.0%;":[236],"P<0.0001).":[237],"CONCLUSIONS:":[238],"reduction":[245],"factors.":[254],"magnitude":[256],"this":[258],"effect":[259],"Because":[269],"racial/ethnic":[270],"minorities":[271],"have":[272,287],"lower":[273],"rates":[274],"adherence,":[277],"future":[278],"studies":[279],"should":[280],"evaluate":[281],"HDHP-associated":[283],"greater":[288],"clinical":[289],"consequences":[290],"these":[292],"patients.":[293]},"counts_by_year":[{"year":2026,"cited_by_count":2},{"year":2025,"cited_by_count":3},{"year":2024,"cited_by_count":2},{"year":2023,"cited_by_count":7},{"year":2022,"cited_by_count":6},{"year":2021,"cited_by_count":9},{"year":2020,"cited_by_count":7},{"year":2019,"cited_by_count":1}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2018-11-16T00:00:00"}
