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Impact of Medication Compliance on Cardiovascular Disease Time to Admission Events in New York City Medicaid Patients: A Retrospective Survival Analysis Study

Adrien, Jamal (2024) Impact of Medication Compliance on Cardiovascular Disease Time to Admission Events in New York City Medicaid Patients: A Retrospective Survival Analysis Study. Capstone Project, University of Pittsburgh. (Unpublished)

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Cardiovascular diseases (CVD) persist as the foremost cause of mortality in the United States, underlining a significant public health dilemma. This study delves into the influence of medication compliance on emergency room (ER) admissions due to cardiovascular conditions in New York from 2019 to 2022. Utilizing data from MetroPlus, a public insurance provider, this analysis integrates demographic, prescription, and medical claim information to explore the relationship between medication adherence and subsequent ER visits or admissions.
The research adopts a retrospective survival analysis framework, emphasizing the importance of medication adherence. Previous findings have highlighted a direct correlation between adherence and improved health outcomes, with deviations in medication compliance significantly affecting ER visits and hospitalizations. This study extends this knowledge base by examining the effects of socio-economic factors alongside medication compliance on cardiovascular ER admissions.
Key findings indicate that non-compliance significantly elevates the risk of cardiovascular emergencies, reinforcing the need for targeted interventions to enhance patient adherence. Moreover, the interplay of socio-economic variables, such as education, race, and income, presents a nuanced impact on healthcare outcomes, suggesting a multifaceted approach to addressing CVD risks.
Methodologically, the study utilizes the Cox proportional hazard model to assess the time-to-event data, confirming the robustness of findings through the proportionality of hazards assumptions. The comprehensive dataset and meticulous data management practices ensure the reliability and validity of the results, offering insightful contributions to public health strategies aimed at mitigating cardiovascular risks.
This research not only illuminates the critical role of medication compliance in preventing cardiovascular emergencies but also underscores the influence of socio-economic factors on health disparities. It advocates for an integrated public health approach that combines medication adherence initiatives with broader socio-economic interventions to tackle the complex challenges of cardiovascular disease management effectively.


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Item Type: University of Pittsburgh ETD
Status: Unpublished
CreatorsEmailPitt UsernameORCID
Adrien, Jamaljamalx123@gmail.comjaa2490009-0004-3238-1327
ETD Committee:
TitleMemberEmail AddressPitt UsernameORCID
Thesis AdvisorBuchanich, Jeaninejeanine@pitt.edujeanine
Committee MemberBrooks, Mariambrooks@pitt.edumbrooks
Committee MemberYouk, Adaayouk@pitt.eduayouk
Committee MemberLow, Ronaldlowrb@metroplus.orgrlow
Date: 14 May 2024
Date Type: Publication
Defense Date: 19 April 2024
Approval Date: 14 May 2024
Submission Date: 26 April 2024
Access Restriction: No restriction; Release the ETD for access worldwide immediately.
Number of Pages: 83
Institution: University of Pittsburgh
Schools and Programs: School of Public Health > Biostatistics
Degree: MS - Master of Science
Thesis Type: Capstone Project
Refereed: Yes
Uncontrolled Keywords: Cox proportional hazard model, Kaplan Meier curve
Date Deposited: 14 May 2024 18:39
Last Modified: 14 May 2024 18:39


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